Healthcare Provider Details

I. General information

NPI: 1407247760
Provider Name (Legal Business Name): CHRISTY W ROBINSON PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2015
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S MAIN ST
CHATHAM VA
24531-5436
US

IV. Provider business mailing address

705 MAIN STREET
DANVILLE VA
24541
US

V. Phone/Fax

Practice location:
  • Phone: 434-432-4443
  • Fax: 434-432-3555
Mailing address:
  • Phone: 434-791-3630
  • Fax: 434-791-4088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024171305
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: