Healthcare Provider Details

I. General information

NPI: 1922102615
Provider Name (Legal Business Name): CATHERINE ANN DENOBILE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 03/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRVING ST NW
WASHINGTON DC
20422-0001
US

IV. Provider business mailing address

6825 29TH ST N
ARLINGTON VA
22213-1510
US

V. Phone/Fax

Practice location:
  • Phone: 202-359-0087
  • Fax: 202-518-4675
Mailing address:
  • Phone: 703-533-1829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR112096
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: