Provider Demographics
NPI:1043732472
Name:SALVADOR, KRISTINE JOY AGAGAS (ARNP)
Entity type:Individual
Prefix:
First Name:KRISTINE JOY
Middle Name:AGAGAS
Last Name:SALVADOR
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 SENTINEL DR STE 407
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4465
Mailing Address - Country:US
Mailing Address - Phone:757-276-7585
Mailing Address - Fax:
Practice Address - Street 1:1501 SENTINEL DR STE 407
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4465
Practice Address - Country:US
Practice Address - Phone:757-276-7585
Practice Address - Fax:877-485-8290
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174784363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty