Provider Demographics
NPI:1255673919
Name:CHRISTAKOS, ERIN L (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:CHRISTAKOS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-337-5997
Mailing Address - Fax:319-358-2665
Practice Address - Street 1:540 E JEFFERSON ST STE 201
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2460
Practice Address - Country:US
Practice Address - Phone:319-337-5997
Practice Address - Fax:319-358-2665
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL085004544363AM0700X
IA100785363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical