Provider Demographics
NPI:1063718856
Name:KROBOTH, CHRISTY LYNN (ANP-BC, CRNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LYNN
Last Name:KROBOTH
Suffix:
Gender:
Credentials:ANP-BC, CRNP
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:LYNN
Other - Last Name:TRAVENY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1605 N CEDAR CREST BLVD STE 110B
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:4 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-1120
Practice Address - Country:US
Practice Address - Phone:610-967-4993
Practice Address - Fax:610-967-6553
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN523487L163W00000X
PASP011132363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103453325Medicaid