Provider Demographics
NPI:1790902955
Name:VOLK, CHRISTINE L (MPAS PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:VOLK
Suffix:
Gender:F
Credentials:MPAS PA-C
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:L
Other - Last Name:EDGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPAS PA-C
Mailing Address - Street 1:300 OLD POND RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1270
Mailing Address - Country:US
Mailing Address - Phone:412-220-7323
Mailing Address - Fax:412-220-7325
Practice Address - Street 1:300 OLD POND RD STE 201
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1270
Practice Address - Country:US
Practice Address - Phone:412-220-7323
Practice Address - Fax:412-220-7325
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051694363L00000X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P70207Medicare UPIN
PA080883Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER