Healthcare Provider Details

I. General information

NPI: 1801298484
Provider Name (Legal Business Name): CHRISTA CERRA DNP, CRNP- FAMILY H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 09/28/2020
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 FREEPORT RD SUITE 100
BLAWNOX PA
15238-3411
US

IV. Provider business mailing address

121 FREEPORT RD SUITE 100
BLAWNOX PA
15238-3411
US

V. Phone/Fax

Practice location:
  • Phone: 412-781-1917
  • Fax:
Mailing address:
  • Phone: 412-781-1917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number130346022
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: