Provider Demographics
NPI:1831431048
Name:ATTIPOE, CATHERINE (RN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:ATTIPOE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6480 WINGATE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-1643
Mailing Address - Country:US
Mailing Address - Phone:703-889-0979
Mailing Address - Fax:
Practice Address - Street 1:6480 WINGATE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1643
Practice Address - Country:US
Practice Address - Phone:703-889-0979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001242010163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)