Provider Demographics
NPI:1689214108
Name:GRAHAM, CHRISTINA RHEA (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:RHEA
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:RHEA
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3685 GREYTREE PL
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-4862
Mailing Address - Country:US
Mailing Address - Phone:540-604-3364
Mailing Address - Fax:
Practice Address - Street 1:833 BUFFALO ST # 200
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1111
Practice Address - Country:US
Practice Address - Phone:434-392-8177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily