Healthcare Provider Details

I. General information

NPI: 1497390421
Provider Name (Legal Business Name): CATHERINE SCHUTT HURTE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2019
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 S JEFFERSON ST
ROANOKE VA
24016-4724
US

IV. Provider business mailing address

2573 SCHUTT RD
BURKEVILLE VA
23922-2426
US

V. Phone/Fax

Practice location:
  • Phone: 540-769-3964
  • Fax:
Mailing address:
  • Phone: 434-321-2629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024178648
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: