Provider Demographics
NPI:1245429521
Name:DANSER, CHRISTINE THOOHARIS (CNM MSN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:THOOHARIS
Last Name:DANSER
Suffix:
Gender:F
Credentials:CNM MSN
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:108 WEST FRANKLIN AVE
Mailing Address - Street 2:WOMENS CSLG & HEALTH CARE I-8C
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
Mailing Address - Country:US
Mailing Address - Phone:609-737-0966
Mailing Address - Fax:609-767-8805
Practice Address - Street 1:108 WEST FRANKLIN AVE
Practice Address - Street 2:WOMENS CSLG & HEALTH CARE I-8C
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534
Practice Address - Country:US
Practice Address - Phone:609-737-0966
Practice Address - Fax:609-767-8805
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25ME00001701367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife