Individual
KATELIN MIKUTA GORNTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1122 N 25TH ST, RICHMOND, VA 23223-5254
(804) 355-4348
Mailing address
7231 STAFFORD PARK DR, MOSELEY, VA 23120-2311
(804) 920-6847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185568
VA
Other
Enumeration date
09/28/2017
Last updated
02/20/2023
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