Individual
CHRISTOPHER M. WIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1736 W HAMILTON ST, ALLENTOWN, PA 18104-5656
(610) 628-8372
(610) 628-8648
Mailing address
24 S 18TH ST, ALLENTOWN, PA 18104-5622
(610) 628-8372
(610) 628-8372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN526740L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
072870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682106
HIGHMARK
PA
01
—
2001257
KHP CENTRAL
PA
01
—
2355742000
INDEP.BLUE CROSS
PA
01
—
50045497
CAPITAL ADVANTAGE
PA
01
—
90782
GEISINGER
PA
01
—
P00238194
RAILROAD
PA
Enumeration date
10/03/2005
Last updated
07/27/2007
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