Provider Demographics
NPI:1073567426
Name:ARMBRUSTER, CHRISTY A (MD)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:A
Last Name:ARMBRUSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:ANN
Other - Last Name:ARMBRUSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1995 ERRECART BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8334
Mailing Address - Country:US
Mailing Address - Phone:775-753-6886
Mailing Address - Fax:775-753-6888
Practice Address - Street 1:1995 ERRECART BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8334
Practice Address - Country:US
Practice Address - Phone:775-753-6886
Practice Address - Fax:775-753-6888
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11565208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVI43175Medicare UPIN