Provider Demographics
NPI:1902466998
Name:DELEON, CHRISTINA (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 SAINT CLAIRE PL STE 150
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2152
Mailing Address - Country:US
Mailing Address - Phone:888-820-3376
Mailing Address - Fax:888-826-4576
Practice Address - Street 1:202 SAINT CLAIRE PL STE 150
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2152
Practice Address - Country:US
Practice Address - Phone:888-820-3376
Practice Address - Fax:888-826-4576
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0007170363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical