Organization
PURE PEDIATRICS & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ANNE MACDONALD CPNP-PC (DIRECTOR)
(240) 678-3397
Entity
Organization
Contact information
Practice address
893B HARRISON ST SE, LEESBURG, VA 20175-4519
(571) 308-2813
(800) 305-8056
Mailing address
893B HARRISON ST SE, LEESBURG, VA 20175-4519
(571) 308-2813
(800) 305-8056
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
202D00000X
Integrative Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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