Provider Demographics
NPI:1477667087
Name:FREDERICK LOUV, KATHRYN VICTORIA (RN, MN, FNP)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:VICTORIA
Last Name:FREDERICK LOUV
Suffix:
Gender:F
Credentials:RN, MN, FNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11142 SAUNDERS CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1312
Mailing Address - Country:US
Mailing Address - Phone:858-530-0589
Mailing Address - Fax:858-530-0591
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR.
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92161
Practice Address - Country:US
Practice Address - Phone:858-552-8585
Practice Address - Fax:858-642-3494
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA259033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily