Provider Demographics
NPI:1902464126
Name:WHARTON, CHRISTINA SUZANNE (FNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:SUZANNE
Last Name:WHARTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:SUZANNE
Other - Last Name:WHARTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:275 KIMBERLY AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3518
Mailing Address - Country:US
Mailing Address - Phone:828-545-0682
Mailing Address - Fax:
Practice Address - Street 1:80 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-8816
Practice Address - Country:US
Practice Address - Phone:828-538-4546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011805363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily