Provider Demographics
NPI:1083643324
Name:SCHRUNTEK, CHRISTINE A (RN,APN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:SCHRUNTEK
Suffix:
Gender:F
Credentials:RN,APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HENDRICKSON AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-6122
Mailing Address - Country:US
Mailing Address - Phone:732-893-5316
Mailing Address - Fax:732-898-3559
Practice Address - Street 1:7 HENDRICKSON AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-6122
Practice Address - Country:US
Practice Address - Phone:732-893-5316
Practice Address - Fax:732-898-3559
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC08880600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
005110Medicare ID - Type Unspecified
S47979Medicare UPIN