Provider Demographics
NPI:1740802800
Name:GARNETT, CHRISTINE ANELLA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANELLA
Last Name:GARNETT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:DOLORES
Other - Last Name:ANELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:877 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3821
Mailing Address - Country:US
Mailing Address - Phone:215-589-5839
Mailing Address - Fax:
Practice Address - Street 1:1700 S BROAD ST FL 3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2340
Practice Address - Country:US
Practice Address - Phone:215-467-5870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021689363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics