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NPI Code Detail

MEDICARE: MS. CHRISTINA MARY SLAVIN FNP

MEDICARE: MS. CHRISTINA MARY SLAVIN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024142491VA

General Provider Information

NPI Number : 1639179666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA MARY SLAVIN FNP
Provider Business Mailing Address
First Line : PO BOX 1599
Second Line :
City : KILMARNOCK
State : VA
Zip : 22482
Country : US
Telephone Number : 804-435-3103
Fax Number : 804-435-6695
Provider Business Practice Location Address
First Line : 107 DMV DR
Second Line :
City : KILMARNOCK
State : VA
Zip : 22482-3843
Country : US
Telephone Number : 804-288-4084
Fax Number : 804-282-8678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2005
Last Update Date : 01/15/2020

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