Individual
MISS KATHERINE SUE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4999
(757) 312-3085
(757) 923-6237
Mailing address
667 KINGSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-4999
(757) 312-3085
(757) 312-6550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164242
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500030057
RAILROAD MEDICARE
VA
05
—
7003974
—
NC
05
—
7789301
—
VA
Enumeration date
04/27/2006
Last updated
10/24/2018
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