Individual
MRS. KATHERINE RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN, IBCLC
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-8440
Mailing address
647 GILLUMS RIDGE RD, CHARLOTTESVILLE, VA 22903-7025
(434) 977-6183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001107298
VA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-68741
VA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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