Individual
MRS. KAITLYN C WREGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-0000
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024182622
VA
363LG0600X
Gerontology Nurse Practitioner
0024182622
VA
Other
Enumeration date
04/01/2022
Last updated
01/27/2025
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