Individual provider · NPI-1

Christan M Battle, PA Student

Physician Assistant · Bowie, MD

NPI number1104051150
StatusActive
Last updated in NPPESMay 14, 2025

Details

NPI
1104051150
Entity type
Individual (NPI-1)
Name
Christan M Battle
Credential
PA Student
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2009
Certification date
May 14, 2025
Last updated
May 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantC0009864MDYes
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

15459 Annapolis Rd
Bowie, MD 20715-1847

Phone 240-544-0676

Mailing address

203 Twilight Dr
Goldsboro, NC 27534-8393

Phone 407-301-6134

Other practice locations

203 Twilight Dr
Goldsboro, NC 27534-8393

Phone 407-301-6134

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