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NPI Code Detail

MEDICARE: MRS. NICOL R CHRIST CRNP

MEDICARE: MRS. NICOL R CHRIST CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP034136PA

General Provider Information

NPI Number : 1659215259
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOL R CHRIST CRNP
Provider Business Mailing Address
First Line : PO BOX 1806
Second Line :
City : ALLENTOWN
State : PA
Zip : 18105-1806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 SCHUYLKILL MEDICAL PLZ
Second Line :
City : POTTSVILLE
State : PA
Zip : 17901-3660
Country : US
Telephone Number : 570-621-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/22/2026

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