Provider Demographics
NPI:1245507318
Name:BORDEAU, CHRISTINA MICHELE (BSM, LCCE, CD, PD)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MICHELE
Last Name:BORDEAU
Suffix:
Gender:F
Credentials:BSM, LCCE, CD, PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 AUBURN DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-7118
Mailing Address - Country:US
Mailing Address - Phone:570-242-4580
Mailing Address - Fax:
Practice Address - Street 1:221 AUBURN DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-7118
Practice Address - Country:US
Practice Address - Phone:570-242-4580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175M00000XOther Service ProvidersMidwife, Lay
No374J00000XNursing Service Related ProvidersDoula