Provider Demographics
NPI:1588897862
Name:ARMSTRONG, CHRISTINE DANIELLE (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DANIELLE
Last Name:ARMSTRONG
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:DANIELLE
Other - Last Name:LOYEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:100 N ACADEMY AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-703-7351
Mailing Address - Fax:570-703-7801
Practice Address - Street 1:1800 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2369
Practice Address - Country:US
Practice Address - Phone:570-703-7351
Practice Address - Fax:570-703-7801
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054114363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103204132-0001Medicaid
PA50092857OtherCAPITAL BLUE CROSS
PAP00800259OtherRR MEDICARE
PA103204132-0001Medicaid