Provider Demographics
NPI:1982249108
Name:AUBURN PEDIATRICS INC
Entity Type:Organization
Organization Name:AUBURN PEDIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CRNP
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:717-494-6233
Mailing Address - Street 1:13306 MARSH PIKE
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2573
Mailing Address - Country:US
Mailing Address - Phone:717-494-6233
Mailing Address - Fax:
Practice Address - Street 1:8660 AUBURN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WV
Practice Address - Zip Code:26325-7515
Practice Address - Country:US
Practice Address - Phone:717-494-6233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty