Provider Demographics
NPI:1952571333
Name:BURKE-PEYTON, CHRISTY SCOTT (RN,ANP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:SCOTT
Last Name:BURKE-PEYTON
Suffix:
Gender:F
Credentials:RN,ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1936
Mailing Address - Country:US
Mailing Address - Phone:804-218-6275
Mailing Address - Fax:
Practice Address - Street 1:7160 BROOK WAY
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-1936
Practice Address - Country:US
Practice Address - Phone:804-218-6275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165915363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001167515OtherRN LINCENSE