Provider Demographics
NPI:1174588453
Name:UNGER, CHRISTINA MARIA (CRRN-BC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:UNGER
Suffix:
Gender:F
Credentials:CRRN-BC
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Other - Credentials:
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 604
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1155
Mailing Address - Country:US
Mailing Address - Phone:610-868-9770
Mailing Address - Fax:610-868-9519
Practice Address - Street 1:701 OSTRUM ST
Practice Address - Street 2:SUITE 604
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1155
Practice Address - Country:US
Practice Address - Phone:610-868-9770
Practice Address - Fax:610-868-9519
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP008797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA099592U7CMedicare ID - Type Unspecified
PAQ66409Medicare UPIN