CHRISTY NICHOLE DOUGLAS APRN NPI 1437485406

NPI Information

  • NPI: 1437485406
  • Provider Name: CHRISTY NICHOLE DOUGLAS, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 9900 BREN RD E
    MINNETONKA, MN
    ZIP 55343
  • Phone: (912) 487-6779

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NPI Details

Christy Nichole Douglas, APRN is a family nurse practitioner in Minnetonka, MN. Christy Nichole Douglas, APRN NPI is 1437485406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9900 BREN RD E
MINNETONKA, MN
ZIP 55343-664
Phone: (912) 487-6779

The enumeration date for this NPI number is 10/27/2009 and was last updated on 9/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN160818GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1454851432AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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