Provider Demographics
NPI:1720451750
Name:STOLTZFUS, CHRISTIANA
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:
Last Name:STOLTZFUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:17502-0060
Mailing Address - Country:US
Mailing Address - Phone:717-426-4754
Mailing Address - Fax:
Practice Address - Street 1:222 RACE ST.
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:17502
Practice Address - Country:US
Practice Address - Phone:717-587-5347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula