Provider Demographics
NPI:1083998983
Name:CORREGAN, CHRISTIE M (CRNA)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:M
Last Name:CORREGAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5520
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-0520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:610-954-5810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-521856-L163W00000X
NJ26NR13939900163W00000X
PA89653367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2678583OtherFIRST PRIORITY
PA2678583OtherHIGHMARK
PA15303OtherGEISINGER
PAP01036499OtherRAILROAD MEDICARE
PA12296972OtherCAQH
PA50106048OtherCAPITAL ADVANTAGE
PA9424826OtherAETNA
PA1027812600001Medicaid
PA1604658OtherGATEWAY
PA3871472000OtherIND BLUE CROSS
PA1604658OtherGATEWAY
PA232843QCYMedicare PIN