Provider Demographics
NPI:1093146540
Name:HOLTZ, CHRISTINE D (CRNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:D
Last Name:HOLTZ
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 THISTLE HILL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17362-1160
Mailing Address - Country:US
Mailing Address - Phone:717-225-9869
Mailing Address - Fax:717-646-7438
Practice Address - Street 1:2030 THISTLE HILL DR STE 100
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:PA
Practice Address - Zip Code:17362-1160
Practice Address - Country:US
Practice Address - Phone:717-225-9869
Practice Address - Fax:717-646-7438
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013518363L00000X, 363LG0600X, 363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care