Davitt, Christina B

Davitt, Christina B is an individual health care provider with primary practice located at 1155 Pleasant Valley Way , West Orange NJ 07052-1424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Davitt, Christina B can be contacted via phone (973) 731-5100.

Contact Information

Primary practice address
1155 Pleasant Valley Way West Orange NJ 07052-1424
Phone: (973) 731-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NN08232100 New Jersey

Profile Details

NPI number 1902020654
LBN Legal business name Davitt, Christina B
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902020654 NPPES
New Jersey MEDICAID 7448708

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