Provider Demographics
NPI:1770773327
Name:SCHATZ, CHRISTY LYNN (NP)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNN
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3040 WILLIAMS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4618
Mailing Address - Country:US
Mailing Address - Phone:571-350-8400
Mailing Address - Fax:703-940-8697
Practice Address - Street 1:8613 LEE HWY # 200N
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2171
Practice Address - Country:US
Practice Address - Phone:703-208-3155
Practice Address - Fax:703-280-9596
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2022-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024167457363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1770773327Medicaid
DC778025OtherMEDICARE PTAN