Provider Demographics
NPI:1760459390
Name:HARKEY, CHRISTINA ELIZABETH (DO)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:HARKEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:ELIZABETH
Other - Last Name:COOLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:1850 E PARK AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-6706
Mailing Address - Country:US
Mailing Address - Phone:814-689-6789
Mailing Address - Fax:
Practice Address - Street 1:1850 E PARK AVE STE 207
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-6706
Practice Address - Country:US
Practice Address - Phone:814-689-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT23453207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000190966OtherBCBS PIN NUMBER
PAOT23453OtherPHYSICIAN LICENSE
OH0108341Medicaid
OH000000190966OtherBCBS PIN NUMBER
OH000000190966OtherBCBS PIN NUMBER