| Doctor Name: | KRISTA E. CENTRIC |
| NPI Number: | 1023391380 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP-BC |
| License Number: | 0017140197 |
| Business Practice Address: | 500 Discovery Dr Suite 302 Chesapeake, VA - 233203871 |
| Business Phone Number: | 7576682500 |
| Business Fax Number: | 7576682510 |
| Mailing Address: | 500 Discovery Dr, Suite 302 CHESAPEAKE |
| State: | VA |
| Postal Code: | 233203871 |
| Phone Number: | 7576682500 |
| Fax Number: | 7576682510 |
| NPI Enumeration Date: | 09/23/2011 |
| NPI Last Update Date: | 01/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 0017140197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |