Healthcare Provider Details

I. General information

NPI: 1730064288
Provider Name (Legal Business Name): ROSE ANNE MADRID CATALAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9068 TWO BAYS RD
LORTON VA
22079-1592
US

IV. Provider business mailing address

9068 TWO BAYS RD
LORTON VA
22079-1592
US

V. Phone/Fax

Practice location:
  • Phone: 240-486-5254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024193880
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024193880
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: