Provider Demographics
NPI:1982636643
Name:GOLD, CHRISTINE LYNN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:LYNN
Last Name:GOLD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:FULLER
Other - Last Name:GOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:304 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3374
Mailing Address - Country:US
Mailing Address - Phone:717-299-6372
Mailing Address - Fax:
Practice Address - Street 1:802 NEW HOLLAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2288
Practice Address - Country:US
Practice Address - Phone:717-299-6371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP002174C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03008101OtherCAPITAL BLUE CROSS-WMG
PA20019447OtherAMERIHEALTH MERCY-WMG
PA1551727OtherGATEWAY ASSURED
PA1933951OtherHIGHMARK BLUE SHIELD
PA619015OtherCAREFIRST MD BCBS
PA105128OtherJOHNS HOPKINS
PA500029033Medicare PIN
PA105128OtherJOHNS HOPKINS
PA1551727OtherGATEWAY ASSURED