Individual
MRS. KATHLEEN ANN PAULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
8640 SUDLEY RD STE 303, MANASSAS, VA 20110-4404
(703) 361-7778
(703) 361-1811
Mailing address
8640 SUDLEY RD STE 303, MANASSAS, VA 20110-4404
(703) 361-7778
(703) 361-1811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165000
VA
Other
Enumeration date
10/26/2005
Last updated
10/13/2014
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