Provider Demographics
NPI:1801298484
Name:CERRA, CHRISTA (DNP, CRNP- FAMILY H)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:CERRA
Suffix:
Gender:F
Credentials:DNP, CRNP- FAMILY H
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 FREEPORT RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BLAWNOX
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3411
Mailing Address - Country:US
Mailing Address - Phone:412-781-1917
Mailing Address - Fax:
Practice Address - Street 1:121 FREEPORT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BLAWNOX
Practice Address - State:PA
Practice Address - Zip Code:15238-3411
Practice Address - Country:US
Practice Address - Phone:412-781-1917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA130346022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA130346022OtherPA CRNP- FAMILY HEALTH LICENSE NUMBER