Individual
MRS. CHRYSTAL MARIE PILGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3060 WILLIAMS DR STE 3104, FAIRFAX, VA 22031-4667
(703) 661-9484
Mailing address
3060 WILLIAMS DR STE 3104, FAIRFAX, VA 22031-4667
(703) 661-9484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-007442
VA
363A00000X
Physician Assistant
Primary
C00006383
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110007442
LICENSE
VA
Enumeration date
07/15/2009
Last updated
03/05/2026
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