Provider Demographics
NPI:1265776512
Name:SKIFF, KATHERINE (NP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SKIFF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 S 15TH ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-4252
Mailing Address - Country:US
Mailing Address - Phone:804-298-3460
Mailing Address - Fax:804-344-0480
Practice Address - Street 1:115 S 15TH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-4252
Practice Address - Country:US
Practice Address - Phone:804-298-3460
Practice Address - Fax:804-344-0480
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1015687363LF0000X
VA0024170485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN