Provider Demographics
NPI:1154694305
Name:BESTOR, CHRISTINE K (82229-30)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:K
Last Name:BESTOR
Suffix:
Gender:F
Credentials:82229-30
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:WI
Mailing Address - Zip Code:53525-9784
Mailing Address - Country:US
Mailing Address - Phone:608-676-2214
Mailing Address - Fax:
Practice Address - Street 1:300 ALLEN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:WI
Practice Address - Zip Code:53525-9784
Practice Address - Country:US
Practice Address - Phone:608-676-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI82249-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse