Provider Demographics
NPI:1639179666
Name:SLAVIN, CHRISTINA MARY (FNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARY
Last Name:SLAVIN
Suffix:
Gender:F
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:PO BOX 1599
Mailing Address - Street 2:
Mailing Address - City:KILMARNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22482
Mailing Address - Country:US
Mailing Address - Phone:804-435-3103
Mailing Address - Fax:804-435-6695
Practice Address - Street 1:107 DMV DR
Practice Address - Street 2:
Practice Address - City:KILMARNOCK
Practice Address - State:VA
Practice Address - Zip Code:22482-3843
Practice Address - Country:US
Practice Address - Phone:804-288-4084
Practice Address - Fax:804-282-8678
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024142491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVAA101368Medicare Oscar/Certification
VAVAA101368Medicare Oscar/Certification