Healthcare Provider Details

I. General information

NPI: 1922650258
Provider Name (Legal Business Name): ALESSANDRA CATIZONE CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19500 SANDRIDGE WAY SUITE 110
LEESBURG VA
20176-6821
US

IV. Provider business mailing address

224D CORNWALL STREET, NW SUITE 403
LEESBURG VA
20176-2704
US

V. Phone/Fax

Practice location:
  • Phone: 703-723-7337
  • Fax: 703-723-8278
Mailing address:
  • Phone: 703-737-6001
  • Fax: 703-443-8643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0024181315
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR233281
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024181315
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: