Provider Demographics
NPI:1164513024
Name:AKRIDGE, KATHLEEN MARY (RNC, WHCNP)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MARY
Last Name:AKRIDGE
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Gender:F
Credentials:RNC, WHCNP
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Mailing Address - Street 1:4000 COLISEUM DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5906
Mailing Address - Country:US
Mailing Address - Phone:757-722-7401
Mailing Address - Fax:757-722-7404
Practice Address - Street 1:4000 COLISEUM DR
Practice Address - Street 2:SUITE 280
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5906
Practice Address - Country:US
Practice Address - Phone:757-722-7401
Practice Address - Fax:757-722-7404
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001083594363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAS54091Medicare UPIN
VAVV1056AMedicare PIN