Individual
MS. CATHERINE PAGE MUTHUSUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908
(434) 982-3972
Mailing address
PO BOX 800634, CHARLOTTESVILLE, VA 22908-0634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175059
VA
Other
Enumeration date
07/13/2017
Last updated
07/23/2018
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