Healthcare Provider Details

I. General information

NPI: 1417715814
Provider Name (Legal Business Name): KATELYN CIOFFI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 12/26/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW STE 218
WASHINGTON DC
20010-2993
US

IV. Provider business mailing address

PO BOX 744785
ATLANTA GA
30374-4785
US

V. Phone/Fax

Practice location:
  • Phone: 202-525-2426
  • Fax: 833-731-0438
Mailing address:
  • Phone: 202-476-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP1046955
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: