Provider Demographics
NPI:1356462196
Name:KAATZ, JANE SNYDER (RN, ANP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:SNYDER
Last Name:KAATZ
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 CARLISLE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-1528
Mailing Address - Country:US
Mailing Address - Phone:804-628-0153
Mailing Address - Fax:804-828-2338
Practice Address - Street 1:1200 E BROAD ST
Practice Address - Street 2:MCVH, WEST HOSPITAL, THIRD FLOOR
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5058
Practice Address - Country:US
Practice Address - Phone:804-628-0153
Practice Address - Fax:804-828-2338
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001142448363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health