Healthcare Provider Details

I. General information

NPI: 1205801339
Provider Name (Legal Business Name): KATHRYN A CAUFIELD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 03/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 EATON ST
HAMPTON VA
23669
US

IV. Provider business mailing address

200 EATON ST
HAMPTON VA
23669
US

V. Phone/Fax

Practice location:
  • Phone: 757-726-5000
  • Fax: 757-726-5001
Mailing address:
  • Phone: 757-726-5000
  • Fax: 757-726-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024068917
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: