Individual
CHRISTINE S BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3251 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 772-2582
(877) 319-1729
Mailing address
3251 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 772-2582
(877) 319-1729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
178842
AZ
363LF0000X
Family Nurse Practitioner
Primary
238854
AZ
Other
Enumeration date
01/27/2020
Last updated
05/06/2022
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