Individual
CHRISTINA MARLO RAUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
270 SUSQUEHANNA VALLEY MALL DR STE 800, SELINSGROVE, PA 17870-9124
(570) 884-7925
(570) 374-0176
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN630791
PA
363L00000X
Nurse Practitioner
Primary
SP021894
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103771016
—
PA
01
—
1D0332
MEDICARE
PA
Enumeration date
03/23/2020
Last updated
07/25/2022
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