Healthcare Provider Details

I. General information

NPI: 1346158243
Provider Name (Legal Business Name): KATHERINE QUIRING PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 TOWN CENTER PKWY STE 310
RESTON VA
20190-3300
US

IV. Provider business mailing address

9299 TOWER SIDE DR APT 443
FAIRFAX VA
22031-6031
US

V. Phone/Fax

Practice location:
  • Phone: 804-245-9099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number0110012314
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: