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Individual

MS. KATHERINE MAUREEN HEROLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-6020
Mailing address
11110 ROCK GARDEN DR, FAIRFAX, VA 22030-4935
(703) 447-9226

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0024174642
VA

Other

Enumeration date
03/06/2017
Last updated
03/08/2017
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