MRS. CHRISTA DANIELLE KRELLWITZ NP-C
NPI 1821442393
Clinic/Center - Primary Care in Upland, CA
Active since April 20, 2016
About Mrs. Christa Danielle Krellwitz Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CHRISTA DANIELLE KRELLWITZ NP-C (NPI 1821442393) is an individual primary care provider in Upland, California, licensed in California (NP95004007) and active in the NPI registry since April 2016.
NPPES Registry Identity
NPI1821442393
Entity TypeIndividualFemale
Primary Taxonomy261QP2300X
Provider Legal NameMRS. CHRISTA DANIELLE KRELLWITZCredential: NP-C
Location Address1113 ALTA AVE STE 220Upland, CA 91786-2803
Mailing Address1113 Alta Ave Ste 220Upland, CA 91786-2803 · (909) 985-1908
Phone(909) 985-1908
Sole ProprietorYes
Enumeration DateApril 20, 2016
Last NPPES UpdateMarch 7, 2023
✔ NPI 1821442393 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · NP95004007
1113 ALTA AVE STE 220, Upland, CA 91786
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821442393, enumerated as an "individual" on April 20, 2016.
The provider is located at 1113 ALTA AVE STE 220 UPLAND, CA 91786 and the phone number is (909) 985-1908.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.