Doctor Name: | MS. CHRISTINE REED MORAN |
NPI Number: | 1033258645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | UP006700B |
Business Practice Address: | 1844 Street Rd Southampton, PA - 189664582 |
Business Phone Number: | 2153574066 |
Business Fax Number: | 2153642572 |
Mailing Address: | 551 Cedarbrook Rd, SOUTHAMPTON |
State: | PA |
Postal Code: | 189664156 |
Phone Number: | 2153557036 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | UP006700B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |