Provider Demographics
NPI:1770680118
Name:ST. GERMAIN, CHRISTA ANN (DC, MSN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:ANN
Last Name:ST. GERMAIN
Suffix:
Gender:F
Credentials:DC, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 ROUTE 343
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:12545-6163
Mailing Address - Country:US
Mailing Address - Phone:845-677-3425
Mailing Address - Fax:845-677-5296
Practice Address - Street 1:80 ROUTE 343
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:NY
Practice Address - Zip Code:12545-6163
Practice Address - Country:US
Practice Address - Phone:845-677-3425
Practice Address - Fax:845-677-5296
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347069363LF0000X
NYNYXOO9434111N00000X
SC29116363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor