Healthcare Provider Details

I. General information

NPI: 1467556001
Provider Name (Legal Business Name): CHRISTINE MARIE HUNYARA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 04/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 SUNBURY ST
MINERSVILLE PA
17954-1346
US

IV. Provider business mailing address

232 SUNBURY ST
MINERSVILLE PA
17954-1346
US

V. Phone/Fax

Practice location:
  • Phone: 570-544-4590
  • Fax: 570-544-4585
Mailing address:
  • Phone: 570-544-4590
  • Fax: 570-544-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA001395L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: