Individual
MRS. CATHERINE MARIE STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-8878
(703) 858-8701
Mailing address
112 PLANKWOOD CT, STEPHENS CITY, VA 22655-2920
(304) 886-6719
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173712
VA
363LG0600X
Gerontology Nurse Practitioner
0024173712
VA
Other
Enumeration date
07/11/2016
Last updated
06/12/2023
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