MEDICARE: CHRISTINA ELIZABETH WORST CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R266022	MD
2	163W00000X	Registered Nurse	26NR26137500	NJ
3	163W00000X	Registered Nurse	RN615976	PA
4	163W00000X	Registered Nurse	L1-0073316	DE
5	363LF0000X	Family Nurse Practitioner	26NJ15347300	NJ
6	363LF0000X	Family Nurse Practitioner	LG-0013217	DE
7	363LF0000X	Family Nurse Practitioner	R266022	MD
8	363LF0000X	Family Nurse Practitioner	SP015609	PA

General Provider Information

NPI Number	:	1669849261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA ELIZABETH WORST CRNP

Provider Business Mailing Address
First Line	:	150 MONUMENT RD STE 600
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1701
Country	:	US
Telephone Number	:	610-617-2415
Fax Number	:	215-893-5560

Provider Business Practice Location Address
First Line	:	150 MONUMENT RD STE 600
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1701
Country	:	US
Telephone Number	:	610-617-2415
Fax Number	:	215-893-5560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	08/15/2025

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