Individual
CHRISTINA PRUDENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 CORPORATE CENTER DR STE 100, CAMP HILL, PA 17011-1758
(717) 763-1174
Mailing address
100 CORPORATE CENTER DR STE 100, CAMP HILL, PA 17011-1758
(717) 763-1174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP020794
PA
363LF0000X
Family Nurse Practitioner
APRN 2194
HI
363LF0000X
Family Nurse Practitioner
Primary
SP020794
PA
Other
Enumeration date
10/08/2016
Last updated
07/23/2021
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