Provider Demographics
NPI:1528029469
Name:QUINN, CATHERINE G (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:G
Last Name:QUINN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:ANNE
Other - Last Name:GARHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CPNP
Mailing Address - Street 1:10400 EATON PLACE
Mailing Address - Street 2:#410
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:703-359-5160
Mailing Address - Fax:703-383-9574
Practice Address - Street 1:407 N WASHINGTON ST
Practice Address - Street 2:#100
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046
Practice Address - Country:US
Practice Address - Phone:703-237-5919
Practice Address - Fax:703-241-1863
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024036357363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner