Individual
CHRISTINE MARIE HEAVEN DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, APRN, CPNP-AC/PC
Contact information
Practice address
4910 MUELLER, SUITE 102, AUSTIN, TX 78723
(512) 777-2917
Mailing address
4910 MUELLER, SUITE 102, AUSTIN, TX 78723
(512) 777-2917
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
693181
TX
363LP0200X
Pediatric Nurse Practitioner
AP123566
TX
Other
Enumeration date
06/14/2010
Last updated
01/09/2026
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