Provider Demographics
NPI:1336133859
Name:YERDON, CHRISTINA M (ACNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:YERDON
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:258 HOOSICK ST
Mailing Address - Street 2:STE 101
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2446
Mailing Address - Country:US
Mailing Address - Phone:518-292-6000
Mailing Address - Fax:518-641-6766
Practice Address - Street 1:2231 BURDETT AVE
Practice Address - Street 2:STE 160
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2447
Practice Address - Country:US
Practice Address - Phone:518-292-6200
Practice Address - Fax:518-292-6228
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2022-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF430259363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner