Ellis, Kathryn Krueger

Ellis, Kathryn Krueger is an individual health care provider with primary practice located at 337 Maple Ave E. , Vienna VA 22180. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellis, Kathryn Krueger can be contacted via phone (703) 424-1302.

Contact Information

Primary practice address
337 Maple Ave E. Vienna VA 22180
Phone: (703) 424-1302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN1003376 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024101218 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024101218 Virginia

Profile Details

NPI number 1720297096
LBN Legal business name Ellis, Kathryn Krueger
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Mar 10th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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