Provider Demographics
NPI:1497795421
Name:HENDELL, CHRISTINE DIEHL (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:DIEHL
Last Name:HENDELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:GLASER
Other - Last Name:DIEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:2675 JOPPA RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5160
Practice Address - Country:US
Practice Address - Phone:717-741-9063
Practice Address - Fax:717-741-3634
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006690D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1555994OtherGATEWAY-WMG
PA1936064OtherHIGHMARK BLUE SHIELD
PA205437OtherJOHNS HOPKINS
MD890228OtherCAREFIRST MD BCBS
MD890228OtherCAREFIRST MD BCBS
PA1555994OtherGATEWAY-WMG