Provider Demographics
NPI:1982457362
Name:ELDREDGE-BROWN, CHRISTINE (FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ELDREDGE-BROWN
Suffix:
Gender:F
Credentials:FNP-C
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 980861
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-0837
Mailing Address - Country:US
Mailing Address - Phone:435-901-3065
Mailing Address - Fax:
Practice Address - Street 1:1213 FOXCREST DR
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-6330
Practice Address - Country:US
Practice Address - Phone:435-901-3065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT261601-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily