Provider Demographics
NPI:1629287818
Name:WERYNSKI, CHRISTIE ILENE (CNM)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:ILENE
Last Name:WERYNSKI
Suffix:
Gender:F
Credentials:CNM
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Other - Credentials:
Mailing Address - Street 1:601 W. WALNUT STREET, STE. 925E
Mailing Address - Street 2:CURTIS CENTER INDEPENDENCE SQUARE WEST
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3304
Mailing Address - Country:US
Mailing Address - Phone:215-829-8000
Mailing Address - Fax:215-829-3701
Practice Address - Street 1:601 W. WALNUT STREET, STE. 925E
Practice Address - Street 2:CURTIS CENTER INDEPENDENCE SQUARE WEST
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3304
Practice Address - Country:US
Practice Address - Phone:215-829-8000
Practice Address - Fax:215-829-3701
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2020-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NR09587000367A00000X
PAMW010135367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife