| Doctor Name: | CHRISTINE LA PORTE PALANK |
| NPI Number: | 1326036419 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MS, ANP-C |
| License Number: | 29775 |
| Business Practice Address: | Shepherd Univ Student Health Services E King St Shepherdstown, WV - 254431032 |
| Business Phone Number: | 3048765161 |
| Business Fax Number: | 3048765509 |
| Mailing Address: | 630 Shepherd Ln, SHEPHERDSTOWN |
| State: | WV |
| Postal Code: | 254434681 |
| Phone Number: | 3048762991 |
| Fax Number: | 3048765509 |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 29775 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |