Provider Demographics
NPI:1881424745
Name:CHRISTIAN, ASHLEY PAIGE (FNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PAIGE
Last Name:CHRISTIAN
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 1:12127 MATLOCK DR
Mailing Address - Street 2:
Mailing Address - City:COEBURN
Mailing Address - State:VA
Mailing Address - Zip Code:24230-5917
Mailing Address - Country:US
Mailing Address - Phone:276-639-0059
Mailing Address - Fax:
Practice Address - Street 1:5324 FALLOWATER LANE
Practice Address - Street 2:SUITE 200
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018
Practice Address - Country:US
Practice Address - Phone:540-345-4230
Practice Address - Fax:540-345-6458
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191241363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner