Individual provider · Type 1 NPI

Katelyn Marie Whittingham

Student in an Organized Health Care Education/Training Program · Manassas Park, VA

NPI number 1043963127 Active

Practice location

99 Tremont St
Manassas Park, VA 20111-1800

Mailing address

13910 Rembrandt Way
Chantilly, VA 20151-3266

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043963127

Katelyn Marie Whittingham's National Provider Identifier is 1043963127, issued on Jan 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manassas Park, VA. The record was last updated on Jan 30, 2022.