Basic Information
Provider Information
NPI: 1477005668
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEHOUX
FirstName: CHRISTOPHER
MiddleName: STEVEN
NamePrefix: MR.
NameSuffix:  
Credential: AGACNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 641057
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152641057
CountryCode: US
TelephoneNumber: 8006552656
FaxNumber: 4128227411
Practice Location
Address1: 101 MANNING DR
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9849741000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/04/2016
LastUpdateDate: 10/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X0024174198VAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LA2100X5016180NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2100XAP139062TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LG0600X0024174198VAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LG0600XAP139062TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LC0200X5016180NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine

No ID Information.


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