Provider Demographics
NPI:1528581659
Name:AMISSON, CHRISTINA (CRNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:AMISSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 HUNTINGDON PIKE STE 202
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6130
Mailing Address - Country:US
Mailing Address - Phone:215-947-7500
Mailing Address - Fax:215-947-7501
Practice Address - Street 1:2301 HUNTINGDON PIKE STE 202
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6130
Practice Address - Country:US
Practice Address - Phone:215-947-7500
Practice Address - Fax:215-947-7501
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily