Moffitt, Kathleen T

Moffitt, Kathleen T is an individual health care provider with primary practice located at 11730 Sudley Manor Drive , Manassas VA 20109-2843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moffitt, Kathleen T can be contacted via phone (703) 257-3001.

Contact Information

Primary practice address
11730 Sudley Manor Drive Manassas VA 20109-2843
Phone: (703) 257-3001
Fax: (703) 257-3133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024073304 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0001073304 Virginia

Profile Details

NPI number 1831254093
LBN Legal business name Moffitt, Kathleen T
Credentials CERTIFIED NURSE MIDW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated May 16th, 2011 - about 13 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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