Individual
KATHLEEN HARRELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC, MSN
Contact information
Practice address
2296 OPITZ BLVD STE 440, WOODBRIDGE, VA 22191-3355
(703) 878-0740
Mailing address
10313 DERBY DR, LAUREL, MD 20723-5702
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0024196842
VA
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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