Provider Demographics
NPI:1609597764
Name:HALL, CHRISTEN CARADINE (DNP, FNP, RN, CIC)
Entity type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:CARADINE
Last Name:HALL
Suffix:
Gender:F
Credentials:DNP, FNP, RN, CIC
Other - Prefix:DR
Other - First Name:CHRISTEN
Other - Middle Name:DANIELLE
Other - Last Name:CARADINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP, RN, CIC
Mailing Address - Street 1:486 NORRISTOWN RD STE 133
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2353
Mailing Address - Country:US
Mailing Address - Phone:901-482-7286
Mailing Address - Fax:
Practice Address - Street 1:486 NORRISTOWN RD STE 133
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2353
Practice Address - Country:US
Practice Address - Phone:901-482-7286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025730363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily