Healthcare Provider Details

I. General information

NPI: 1588897862
Provider Name (Legal Business Name): CHRISTINE DANIELLE ARMSTRONG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE DANIELLE LOYEK PA-C

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MULBERRY ST
SCRANTON PA
18510-2369
US

IV. Provider business mailing address

100 N ACADEMY AVE STE 4
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-703-7351
  • Fax: 570-703-7801
Mailing address:
  • Phone: 570-703-7351
  • Fax: 570-703-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA054114
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier103204132-0001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier50092857
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerCAPITAL BLUE CROSS
# 3
IdentifierP00800259
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRR MEDICARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: