Provider Demographics
NPI:1184410862
Name:LORETTO, CHRISTINA (APN-C)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:LORETTO
Suffix:
Gender:
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ALLEN TER
Mailing Address - Street 2:
Mailing Address - City:NETCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07857-1218
Mailing Address - Country:US
Mailing Address - Phone:973-945-7946
Mailing Address - Fax:
Practice Address - Street 1:18 ALLEN TER
Practice Address - Street 2:
Practice Address - City:NETCONG
Practice Address - State:NJ
Practice Address - Zip Code:07857-1218
Practice Address - Country:US
Practice Address - Phone:973-945-7946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15317300363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology