Provider Demographics
NPI:1326724824
Name:MILLER, CHRISTINA MARIA (DNP, CRNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIA
Last Name:MILLER
Suffix:
Gender:F
Credentials:DNP, CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WOODED ACRES DR
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:PA
Mailing Address - Zip Code:18425-9747
Mailing Address - Country:US
Mailing Address - Phone:570-228-1627
Mailing Address - Fax:
Practice Address - Street 1:1592 ROUTE 739 STE 1
Practice Address - Street 2:
Practice Address - City:DINGMANS FERRY
Practice Address - State:PA
Practice Address - Zip Code:18328-3513
Practice Address - Country:US
Practice Address - Phone:570-828-8000
Practice Address - Fax:570-828-6928
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027772363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily