Provider Demographics
NPI:1326366428
Name:MASTERS, CHRISTEL ANGELA JOY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTEL
Middle Name:ANGELA JOY
Last Name:MASTERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:CHRISTEL
Other - Middle Name:ANGELA JOY
Other - Last Name:OSWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1475 TANEY AVE
Mailing Address - Street 2:201
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4747
Mailing Address - Country:US
Mailing Address - Phone:301-662-1930
Mailing Address - Fax:240-379-6710
Practice Address - Street 1:1475 TANEY AVE
Practice Address - Street 2:201
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4747
Practice Address - Country:US
Practice Address - Phone:301-662-1930
Practice Address - Fax:240-379-6710
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR193449163W00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse