Healthcare Provider Details

I. General information

NPI: 1538519202
Provider Name (Legal Business Name): KRISTEN L PINTER PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN SHAFER

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 S WASHINGTON ST STE 12
GETTYSBURG PA
17325-2516
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-339-2875
  • Fax:
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA058357
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberOA003845
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: