Individual
CHRISTINA NICHOLE WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 449-1010
Mailing address
11185 PEE DEE RD S, GALIVANTS FERRY, SC 29544-8941
(843) 877-9353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18010
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184113
WELLCARE
SC
01
—
1659611903
CONSUMERS CHOICE
SC
01
—
30233134
SELECT HEALTH
SC
01
—
3670218
UNITED HEALTHCARE
SC
01
—
4166115
AETNA
SC
01
—
80058760
SELECT HEALTH
SC
05
—
NP2400
—
SC
01
—
P01553934
RR MEDICARE
SC
01
—
SC0985B865
MEDICARE
SC
Enumeration date
02/25/2013
Last updated
04/25/2016
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