Provider Demographics
NPI:1225525488
Name:AUCUTT, CHRISTIN L (NP)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:L
Last Name:AUCUTT
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1216
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52406-1216
Mailing Address - Country:US
Mailing Address - Phone:319-398-6011
Mailing Address - Fax:
Practice Address - Street 1:1855 1ST AVE SE STE 201
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5474
Practice Address - Country:US
Practice Address - Phone:319-777-3205
Practice Address - Fax:319-249-2830
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IAA151002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program