Provider Demographics
NPI:1114333713
Name:PYNE, CHRISTINE (MSN, CRNP, A-GNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:PYNE
Suffix:
Gender:F
Credentials:MSN, CRNP, A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 ZION RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17240-9367
Mailing Address - Country:US
Mailing Address - Phone:717-729-6496
Mailing Address - Fax:
Practice Address - Street 1:830 5TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4224
Practice Address - Country:US
Practice Address - Phone:717-709-7970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN325068L163WN1003X, 163WC1600X
PASP020437363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No163WN1003XNursing Service ProvidersRegistered NurseNutrition SupportGroup - Single Specialty
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development