Healthcare Provider Details

I. General information

NPI: 1740532092
Provider Name (Legal Business Name): CHRISTOPHER MARK KOHAN ACNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 HEALTH CAMPUS DR STE 200
ROCKINGHAM VA
22801-8679
US

IV. Provider business mailing address

2006 HEALTH CAMPUS DR STE 200
ROCKINGHAM VA
22801-8679
US

V. Phone/Fax

Practice location:
  • Phone: 540-689-5555
  • Fax: 757-579-8607
Mailing address:
  • Phone: 540-689-5555
  • Fax: 757-579-8607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number5005820
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024172587
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: