Provider Demographics
NPI:1093450884
Name:GALCZYNSKI, CHRISTA MARIE (CRNP)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:MARIE
Last Name:GALCZYNSKI
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:
Other - Last Name:BREIDENSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:602 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1404
Mailing Address - Country:US
Mailing Address - Phone:610-451-5011
Mailing Address - Fax:
Practice Address - Street 1:5 S CENTRE AVE STE A3
Practice Address - Street 2:
Practice Address - City:LEESPORT
Practice Address - State:PA
Practice Address - Zip Code:19533-8661
Practice Address - Country:US
Practice Address - Phone:610-926-5707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025682363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty