MEDICARE: MRS. KATIE SNIDER REDDEN KATZ FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024168383	VA

General Provider Information

NPI Number	:	1447480603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATIE SNIDER REDDEN KATZ FNP-BC

Provider Business Mailing Address
First Line	:	3625 ALLEGHANY DRIVE
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153
Country	:	US
Telephone Number	:	540-380-1618
Fax Number	:

Provider Business Practice Location Address
First Line	:	3625 ALLEGHANY DRIVE
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153
Country	:	US
Telephone Number	:	540-380-1618
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2009
Last Update Date	:	01/08/2016

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