Individual
KRISTYN JANINE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
14500 NEEDHAM MARKET RD, MIDLOTHIAN, VA 23112-1683
(804) 639-6130
Mailing address
14500 NEEDHAM MARKET RD, MIDLOTHIAN, VA 23112-1683
(804) 639-6130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175019
VA
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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