Provider Demographics
NPI:1316704034
Name:STRONG, CHRISTIN (APNP)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:STRONG
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:CHRISTIN
Other - Middle Name:
Other - Last Name:SEIDL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:699 ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-3310
Mailing Address - Country:US
Mailing Address - Phone:608-504-7446
Mailing Address - Fax:
Practice Address - Street 1:1969 W HART RD
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-2230
Practice Address - Country:US
Practice Address - Phone:405-696-7932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14856-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner