Individual
CHRISTINA AVERHART
Active
Individual
CHRISTINA AVERHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LPN, CLC, LLP
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN-23460
NM
174N00000X
Lactation Consultant (Non-RN)
Primary
55425
NM
225700000X
Massage Therapist
MA51432
FL
225700000X
Massage Therapist
MT9150
NM
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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