Provider Demographics
NPI:1194114363
Name:WHITING, CHRISTINA (CNM)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WHITING
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 US HIGHWAY 46 STE 300
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2695
Mailing Address - Country:US
Mailing Address - Phone:908-509-1801
Mailing Address - Fax:732-301-9252
Practice Address - Street 1:57 US HIGHWAY 46 STE 300
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2695
Practice Address - Country:US
Practice Address - Phone:908-509-1801
Practice Address - Fax:732-301-9252
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00536300363LW0102X
NJ25ME00057001367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health