Healthcare Provider Details

I. General information

NPI: 1033957410
Provider Name (Legal Business Name): KATRINE ANDREWS FNP-BC FNP-C RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 NINE MILE ROAD STE 110
RICHMOND VA
23223
US

IV. Provider business mailing address

9546 CENTERWAY DR
GLEN ALLEN VA
23059-7405
US

V. Phone/Fax

Practice location:
  • Phone: 804-877-8325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024190556
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001276382
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: