Individual
KATHRYN HUMPHREY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 289-1400
Mailing address
4016 LAKE ASHBY CT, WARRENTON, VA 20187-5868
(540) 818-6455
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0024177929
VA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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