Katie Lynne Kotopoulos

NPI 1053303651 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1053303651
Gender Female
Enumeration Date 08/19/2005
Last Updated 02/12/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
4379 RIDGEWOOD CENTER DR
SUITE 102
WOODBRIDGE VA, 22192-8322, US
Phone (703) 680-7950
Fax
Business Location
4379 RIDGEWOOD CENTER DR
SUITE 102
WOODBRIDGE VA, 22192-8322, US
Phone (703) 680-7950
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State DO Columbia
License Number RN963008
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According to our database, Katie Lynne Kotopoulos NPI is 1053303651, taxonomy code is 363LF0000X and license number is RN963008, license state is located at DO Columbia. Katie Lynne Kotopoulos physically located at 4379 Ridgewood Center Dr, Woodbridge VA, 22192-8322. NPI Number Katie Lynne Kotopoulos has the Individual type.

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1053303651 NPI number is provided on an as is basis without warranty of any kind. 1053303651 is maintained by the National Plan & Provider Enumeration System. The contents of Katie Lynne Kotopoulos are for informational purposes only.