Individual
MRS. CHRISTINE UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-9170
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP006294U
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028888168
—
PA
Enumeration date
02/02/2007
Last updated
11/20/2018
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