Provider Demographics
NPI:1528747920
Name:PODROST DOLL, CHRISTINA FLORENCE (CRNP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:FLORENCE
Last Name:PODROST DOLL
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 1:2429 PARK RD
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-1703
Mailing Address - Country:US
Mailing Address - Phone:267-972-3700
Mailing Address - Fax:
Practice Address - Street 1:2429 PARK RD
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-1703
Practice Address - Country:US
Practice Address - Phone:267-972-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027031363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner