Individual
KATHLEEN JANE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6565 ARLINGTON BLVD, SUITE 500, FALLS CHURCH, VA 22042-3013
(703) 396-6194
(703) 779-1372
Mailing address
6565 ARLINGTON BLVD, SUITE 500, FALLS CHURCH, VA 22042-3013
(703) 396-6194
(703) 779-1372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0015000858
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001141935
RN LICENSE
VA
Enumeration date
08/08/2008
Last updated
08/08/2008
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