Healthcare Provider Details

I. General information

NPI: 1306768460
Provider Name (Legal Business Name): CHRISTA PARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 BALTIMORE PIKE STE B2
SPRINGFIELD PA
19064-3997
US

IV. Provider business mailing address

965 BALTIMORE PIKE STE B2
SPRINGFIELD PA
19064-3997
US

V. Phone/Fax

Practice location:
  • Phone: 484-573-5116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036689
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: