Provider Demographics
NPI:1780929513
Name:STILTNER, CHRISTON PAIGE (NP)
Entity type:Individual
Prefix:
First Name:CHRISTON
Middle Name:PAIGE
Last Name:STILTNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:CHRISTON
Other - Middle Name:PAIGE
Other - Last Name:PRATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:162 MEDICAL CENTER BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:HAYSI
Mailing Address - State:VA
Mailing Address - Zip Code:24256-2599
Mailing Address - Country:US
Mailing Address - Phone:276-865-5121
Mailing Address - Fax:276-546-9707
Practice Address - Street 1:162 MEDICAL CENTER BOULEVARD
Practice Address - Street 2:
Practice Address - City:HAYSI
Practice Address - State:VA
Practice Address - Zip Code:24256-2599
Practice Address - Country:US
Practice Address - Phone:276-865-5121
Practice Address - Fax:276-546-9707
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170508363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily