Individual
MARY CATHERINE PRICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
AG-ACNP-BC
Contact information
Practice address
1 AUTUMN CT, MADISON, VA 22727-3028
(540) 948-3054
Mailing address
1912 LYNDHURST RD, WAYNESBORO, VA 22980-5225
(214) 336-5768
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024188932
VA
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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