Provider Demographics
NPI:1467193854
Name:ABANGE, CHRISTINA (NP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:ABANGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:ABANGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:7211 HANOVER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2017
Mailing Address - Country:US
Mailing Address - Phone:301-773-4595
Mailing Address - Fax:
Practice Address - Street 1:7211 HANOVER PKWY STE A
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2017
Practice Address - Country:US
Practice Address - Phone:301-773-4595
Practice Address - Fax:301-349-1186
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR190384363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health