Provider Demographics
NPI:1700284031
Name:TOLBERT, KATHERINE (RN, DOULA)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:TOLBERT
Suffix:
Gender:F
Credentials:RN, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26158 MURREY DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-3601
Mailing Address - Country:US
Mailing Address - Phone:703-362-3927
Mailing Address - Fax:
Practice Address - Street 1:26158 MURREY DR
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-3601
Practice Address - Country:US
Practice Address - Phone:703-362-3927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula