Provider Demographics
NPI:1033653704
Name:MCGUINNESS, CHRISTINE M (CRNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:MCGUINNESS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1700
Mailing Address - Country:US
Mailing Address - Phone:215-256-8040
Mailing Address - Fax:215-256-4857
Practice Address - Street 1:682 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1700
Practice Address - Country:US
Practice Address - Phone:215-256-8040
Practice Address - Fax:215-256-4857
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016887363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health