Individual
CHRISTA R WARTHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
415 TREMONT ST, N TONAWANDA, NY 14120-6135
(716) 690-2001
(716) 692-4342
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027238201
UNIVERA
NY
01
—
00057054601
BLUE CROSS/COMM BLUE
NY
Enumeration date
11/22/2005
Last updated
04/30/2008
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