Provider Demographics
NPI:1245348846
Name:TROMBINO, CHRISTINE A (PA - C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:TROMBINO
Suffix:
Gender:F
Credentials:PA - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N COTNER BLVD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2343
Mailing Address - Country:US
Mailing Address - Phone:402-467-4361
Mailing Address - Fax:402-467-1864
Practice Address - Street 1:600 N COTNER BLVD
Practice Address - Street 2:SUITE 311
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2343
Practice Address - Country:US
Practice Address - Phone:402-467-4361
Practice Address - Fax:402-467-1864
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1127363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
24022OtherBLUE CROSS BLUE SHIELD
P00699077OtherRAILROAD MEDICARE
24022OtherBLUE CROSS BLUE SHIELD