Provider Demographics
NPI:1508344912
Name:HENNESSEY-CARTER, CATHERINE (CNM, ARNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:HENNESSEY-CARTER
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:HENNESSEY-CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNM, NP
Mailing Address - Street 1:8010 TOWERS CRESCENT DR FL 5
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2710
Mailing Address - Country:US
Mailing Address - Phone:571-789-2100
Mailing Address - Fax:571-789-2101
Practice Address - Street 1:8010 TOWERS CRESCENT DR FL 5
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2710
Practice Address - Country:US
Practice Address - Phone:571-789-2100
Practice Address - Fax:571-789-2101
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB116301367A00000X
VA0024179974367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife