Provider Demographics
NPI:1558122705
Name:ARMOUR, KRISTINE A (PA-C)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:A
Last Name:ARMOUR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3270 CHANCELLOR DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-3358
Mailing Address - Country:US
Mailing Address - Phone:703-398-7491
Mailing Address - Fax:
Practice Address - Street 1:3270 CHANCELLOR DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-3358
Practice Address - Country:US
Practice Address - Phone:703-398-7491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant