Provider Demographics
NPI:1255032157
Name:WITT, CHRISTINA MARIE (CRNP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:WITT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1037 TOMLINSON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3212
Mailing Address - Country:US
Mailing Address - Phone:267-346-3339
Mailing Address - Fax:
Practice Address - Street 1:526 N SAINT CLOUD ST STE 1601
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5041
Practice Address - Country:US
Practice Address - Phone:267-308-4902
Practice Address - Fax:267-805-0698
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP027323363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology