Provider Demographics
NPI:1598034514
Name:KREBS, CRISTEN MARIA (DNP, ANP)
Entity Type:Individual
Prefix:
First Name:CRISTEN
Middle Name:MARIA
Last Name:KREBS
Suffix:
Gender:F
Credentials:DNP, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8863
Mailing Address - Country:US
Mailing Address - Phone:724-816-6065
Mailing Address - Fax:724-933-6225
Practice Address - Street 1:6200 BROOKTREE RD
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9299
Practice Address - Country:US
Practice Address - Phone:724-933-6222
Practice Address - Fax:724-933-6225
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011714363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health