Provider Demographics
NPI:1407222417
Name:MCKAIN, CHRISTINA WEST (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:WEST
Last Name:MCKAIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 PRIDES XING STE 110
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-6107
Mailing Address - Country:US
Mailing Address - Phone:302-737-7080
Mailing Address - Fax:
Practice Address - Street 1:750 PRIDES XING STE 110
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-6107
Practice Address - Country:US
Practice Address - Phone:302-737-7080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022704363LA2200X
KY3009553363LA2200X
MDR260617363LA2200X
DELP-0010682363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health