Provider Demographics
NPI:1407881840
Name:BENJAMIN, CHRISTOPHER (FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:BENJAMIN
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 LITTLE SORRELL DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3765
Mailing Address - Country:US
Mailing Address - Phone:540-433-4913
Mailing Address - Fax:540-433-4915
Practice Address - Street 1:1380 LITTLE SORRELL DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3765
Practice Address - Country:US
Practice Address - Phone:540-433-4913
Practice Address - Fax:540-433-4915
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024139270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7785780Medicaid
VAP00337304OtherRAILROAD MEDICARE
VAS96561Medicare UPIN