Individual
KATARINA I UTERMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
75 BLUE HILLS DR, BOONES MILL, VA 24065-1103
(540) 808-6808
Mailing address
75 BLUE HILLS DR, BOONES MILL, VA 24065-1103
(540) 808-6808
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1401191551
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1401191551
CNA STATE REGISTRY
VA
Enumeration date
01/19/2022
Last updated
01/19/2022
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