Provider Demographics
NPI:1730668377
Name:GRABOWSKI, KRISTEN CHILTON (FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:CHILTON
Last Name:GRABOWSKI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 EXECUTIVE DR STE J
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-4155
Mailing Address - Country:US
Mailing Address - Phone:434-797-2828
Mailing Address - Fax:
Practice Address - Street 1:125 EXECUTIVE DR STE J
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4155
Practice Address - Country:US
Practice Address - Phone:434-797-2828
Practice Address - Fax:434-773-6833
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily