Healthcare Provider Details

I. General information

NPI: 1679832414
Provider Name (Legal Business Name): CHRISTINE FASCHING MAPHIS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2012
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S MAIN ST
HARRISONBURG VA
22801-5819
US

IV. Provider business mailing address

640 S MAIN ST
HARRISONBURG VA
22801-5819
US

V. Phone/Fax

Practice location:
  • Phone: 540-564-5800
  • Fax:
Mailing address:
  • Phone: 540-564-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0017140472
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024170042
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: