Individual
CHRISTA WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
5217 GREENLICK RD, CORYDON, KY 42406-9740
(270) 577-1210
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1145512
KY
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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