Healthcare Provider Details

I. General information

NPI: 1811607724
Provider Name (Legal Business Name): CATHERINE LOUISE TALLANT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6371 SEVEN CORNERS CTR
FALLS CHURCH VA
22044-2410
US

IV. Provider business mailing address

6415 CAROLYN DR
FALLS CHURCH VA
22044-1732
US

V. Phone/Fax

Practice location:
  • Phone: 571-286-5872
  • Fax: 571-286-5873
Mailing address:
  • Phone: 703-969-6772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024185631
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: