Individual
MS. CATHRYN R BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
380 MAPLE AVE W, SUITE L-3, VIENNA, VA 22180-5620
(703) 319-3200
(703) 319-3200
Mailing address
4706 TARA DR, FAIRFAX, VA 22032-2037
(703) 425-7483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017000789
VA
Other
Enumeration date
03/25/2007
Last updated
03/07/2023
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