Individual
KATELYN CURRIN HAUGHINBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8081 INNOVATION PARK DR # 700, FAIRFAX, VA 22031-4867
(571) 472-2900
(571) 472-2901
Mailing address
8160 WILLOWDALE CT, SPRINGFIELD, VA 22153-3624
(757) 287-5032
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024182193
VA
363LA2200X
Adult Health Nurse Practitioner
0024182193
VA
Other
Enumeration date
07/23/2021
Last updated
12/23/2021
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