Provider Demographics
NPI:1558008854
Name:CHRITZ, CREINTHEA JOYCE (NP)
Entity Type:Individual
Prefix:
First Name:CREINTHEA
Middle Name:JOYCE
Last Name:CHRITZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CARRIAGE LN STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6049
Mailing Address - Country:US
Mailing Address - Phone:843-266-7573
Mailing Address - Fax:843-266-7578
Practice Address - Street 1:4 CARRIAGE LN STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6049
Practice Address - Country:US
Practice Address - Phone:843-266-7573
Practice Address - Fax:843-266-7578
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25999363LP0808X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult