Individual
KAITLIN HARBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4045 RIVERSIDE PARKWAY, LEESBURG, VA 20176-5101
(703) 858-6000
(410) 337-5068
Mailing address
6701 N CHARLES ST, # 4226, TOWSON, MD 21204-6808
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024172509
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
R200684
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689936528
—
VA
05
—
487202900
—
MD
Enumeration date
06/15/2012
Last updated
05/14/2019
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