Provider Demographics
NPI:1568268555
Name:MYLES, CHRISTINA L
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:MYLES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-1314
Mailing Address - Country:US
Mailing Address - Phone:531-500-3623
Mailing Address - Fax:
Practice Address - Street 1:9016 PEREGRINE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2694
Practice Address - Country:US
Practice Address - Phone:773-491-5894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion