Provider Demographics
NPI:1740532092
Name:KOHAN, CHRISTOPHER MARK (ACNP)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MARK
Last Name:KOHAN
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Gender:
Credentials:ACNP
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Mailing Address - Street 1:667 KINGSBOROUGH SQ STE 101
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4999
Mailing Address - Country:US
Mailing Address - Phone:757-842-4481
Mailing Address - Fax:
Practice Address - Street 1:113 GAINSBOROUGH SQ STE 400
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1714
Practice Address - Country:US
Practice Address - Phone:757-842-4499
Practice Address - Fax:757-842-4490
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2025-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5005820363LA2100X
VA0024172587363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care