Healthcare Provider Details

I. General information

NPI: 1447855762
Provider Name (Legal Business Name): CHRISTINE ELEANOR ARBOGAST ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2020
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 LAKE WRIGHT DR
NORFOLK VA
23502-1871
US

IV. Provider business mailing address

928 LAKE THRASHER DR
CHESAPEAKE VA
23320-3445
US

V. Phone/Fax

Practice location:
  • Phone: 757-466-8683
  • Fax:
Mailing address:
  • Phone: 410-491-7642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024180497
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: