Individual
CHRISTINE TUBB STALLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4360 SHORE DR, VIRGINIA BEACH, VA 23455-2994
(301) 249-9554
Mailing address
6257 POCAHONTAS CLUB RD, VIRGINIA BEACH, VA 23457-1262
(806) 543-8401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178290
VA
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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