Provider Demographics
NPI:1235192410
Name:PANARO, CHRISTINE L (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:PANARO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:KNEPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2613 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-2000
Mailing Address - Country:US
Mailing Address - Phone:814-889-4244
Mailing Address - Fax:814-889-4124
Practice Address - Street 1:2613 8TH AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-2000
Practice Address - Country:US
Practice Address - Phone:814-889-4244
Practice Address - Fax:814-889-4124
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051375363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50047513OtherCAPITAL BLUE CROSS
PA072807KNCMedicare ID - Type UnspecifiedHGSA
PA50047513OtherCAPITAL BLUE CROSS