Provider Demographics
NPI:1053715862
Name:BEIGH, KATHLEEN POWER (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:POWER
Last Name:BEIGH
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-1902
Mailing Address - Country:US
Mailing Address - Phone:703-993-5880
Mailing Address - Fax:
Practice Address - Street 1:3400 CHARLES ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-1902
Practice Address - Country:US
Practice Address - Phone:703-993-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179810363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health