Provider Demographics
NPI:1568553550
Name:KURNATH, CHRISTINE J (RNC, ANP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:J
Last Name:KURNATH
Suffix:
Gender:F
Credentials:RNC, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 HOOPER AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-7719
Mailing Address - Country:US
Mailing Address - Phone:732-281-3200
Mailing Address - Fax:
Practice Address - Street 1:424 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-4654
Practice Address - Country:US
Practice Address - Phone:732-281-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO06772500363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NN06772500OtherADVANCED PRAC NURSE
NJ26NO06772500OtherREGISTERED PROF. NURSE
NJS66496Medicare UPIN