Provider Demographics
NPI:1013307685
Name:DEGRAZIA, CHRISTA ELANE (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:ELANE
Last Name:DEGRAZIA
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 CLEAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1851
Mailing Address - Country:US
Mailing Address - Phone:541-494-8888
Mailing Address - Fax:541-494-1300
Practice Address - Street 1:146 CLEAR CREEK DR
Practice Address - Street 2:SUITE 350
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1851
Practice Address - Country:US
Practice Address - Phone:541-494-8888
Practice Address - Fax:541-494-1300
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201500652NP-PP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health