Individual
KATIE R KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9461913
FL
363L00000X
Nurse Practitioner
Primary
0024182810
VA
363LA2100X
Acute Care Nurse Practitioner
11008234
FL
Other
Enumeration date
06/25/2020
Last updated
04/05/2022
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