Basic Information
Provider Information
NPI: 1821706649
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OWENS
FirstName: CHRISTINE
MiddleName: SEATON
NamePrefix:  
NameSuffix:  
Credential: MSN, RN, AGACNP-BC
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 600 HAVEN MEWS CIR
Address2:  
City: GLEN ALLEN
State: VA
PostalCode: 230597634
CountryCode: US
TelephoneNumber: 8042294294
FaxNumber:  
Practice Location
Address1: 1215 LEE ST
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229080816
CountryCode: US
TelephoneNumber: 4349241825
FaxNumber: 4342449456
Other Information
ProviderEnumerationDate: 11/10/2022
LastUpdateDate: 11/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0200X0001160127VAN Nursing Service ProvidersRegistered NurseCritical Care Medicine
207RE0101X0024185747VAY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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