Provider Demographics
NPI:1467832451
Name:VEGA, KATRYN ANDRE'E (ND, CPM)
Entity Type:Individual
Prefix:
First Name:KATRYN
Middle Name:ANDRE'E
Last Name:VEGA
Suffix:
Gender:F
Credentials:ND, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38629 LIEBCHEN LN
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-9104
Mailing Address - Country:US
Mailing Address - Phone:703-431-2844
Mailing Address - Fax:
Practice Address - Street 1:38629 LIEBCHEN LN
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-9104
Practice Address - Country:US
Practice Address - Phone:703-431-2844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife