Individual
KATHERINE CHALKLEY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
243 CHURCH ST NW STE 100C, VIENNA, VA 22180-4434
(703) 255-3067
Mailing address
243 CHURCH ST NW STE 100C, VIENNA, VA 22180-4434
(703) 255-3067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173680
VA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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