Provider Demographics
NPI:1760988539
Name:PREVITERA, CRISTINA (APRN)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:PREVITERA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 SOCIETY HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2432
Mailing Address - Country:US
Mailing Address - Phone:609-923-8213
Mailing Address - Fax:
Practice Address - Street 1:8 HIGH ST STE 1C
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-9540
Practice Address - Country:US
Practice Address - Phone:856-762-2469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018713363LP0200X
NJ26NJ00811100363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics