Provider Demographics
NPI:1033764402
Name:FLOWERS, KATLYN LOUISE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATLYN
Middle Name:LOUISE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 SENTARA PARK
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-3905
Mailing Address - Country:US
Mailing Address - Phone:757-252-3050
Mailing Address - Fax:757-222-3106
Practice Address - Street 1:1300 SENTARA PARK
Practice Address - Street 2:3RD FLOOR
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-3905
Practice Address - Country:US
Practice Address - Phone:757-252-3050
Practice Address - Fax:757-222-3106
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024177726363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily