Provider Demographics
NPI:1548232275
Name:HART KRESS, CHRISTINE A (WHNP)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:A
Last Name:HART KRESS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15339 JORDANS JOURNEY DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-3905
Mailing Address - Country:US
Mailing Address - Phone:609-500-6716
Mailing Address - Fax:571-427-7690
Practice Address - Street 1:15339 JORDANS JOURNEY DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-3905
Practice Address - Country:US
Practice Address - Phone:571-470-5881
Practice Address - Fax:571-427-7690
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171078363LW0102X
VA00241717078363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1548232275Medicaid
VA30017677150001Medicaid