Provider Demographics
NPI:1508027707
Name:GEORGE, CATHI VIRGINIA (NP-C)
Entity Type:Individual
Prefix:
First Name:CATHI
Middle Name:VIRGINIA
Last Name:GEORGE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 E MAIN ST # 429
Mailing Address - Street 2:
Mailing Address - City:BURKITTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21718-9202
Mailing Address - Country:US
Mailing Address - Phone:301-834-9319
Mailing Address - Fax:
Practice Address - Street 1:1984 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:BLUEMONT
Practice Address - State:VA
Practice Address - Zip Code:20135-4942
Practice Address - Country:US
Practice Address - Phone:301-639-7371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR131155363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily