Individual
CRISTA B WARNIMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 WARRIOR DR, STEPHENS CITY, VA 22655-4044
(540) 868-4100
(540) 868-0888
Mailing address
160 WARRIOR DR, STEPHENS CITY, VA 22655-4044
(540) 868-4100
(540) 868-0888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243812
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116017599
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962624072
—
VA
01
—
MC10431
MEDICARE PTAN
—
Enumeration date
05/02/2007
Last updated
04/21/2015
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