Manfredi, Catherine M.
Manfredi, Catherine M. is an individual health care provider with primary practice located at 1850 Town Center Pkwy #550, Reston VA 20190-3219. 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. Manfredi, Catherine M. can be contacted via phone (703) 437-5977.Contact Information
Primary practice address
1850 Town Center Pkwy #550
Reston VA 20190-3219
Phone: (703) 437-5977
Fax: (703) 478-2475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024166428 | Virginia |
Profile Details
| NPI number | 1508813411 |
|---|---|
| LBN Legal business name | Manfredi, Catherine M. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Aug 27th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508813411 | NPPES |
| Virginia | MEDICAID | 1508813411 | |
| Virginia | Other | P01236177 | |
| Virginia | Other | P00780043 |
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