Healthcare Provider Details

I. General information

NPI: 1134906944
Provider Name (Legal Business Name): KATHERINE GEHR FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 08/28/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12011 US-50 SUITE 302
FAIROAKS VA
22033
US

IV. Provider business mailing address

12011 US-50 SUITE 302
FAIROAKS VA
22033
US

V. Phone/Fax

Practice location:
  • Phone: 703-246-0500
  • Fax:
Mailing address:
  • Phone: 703-246-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024188103
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: