1821982935 NPI number — KIMBERLY GAFFNEY QUITUGUA FNP-C

Table of content: KIMBERLY GAFFNEY QUITUGUA FNP-C (NPI 1821982935)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821982935 NPI number — KIMBERLY GAFFNEY QUITUGUA FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUITUGUA
Provider First Name:
KIMBERLY
Provider Middle Name:
GAFFNEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821982935
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9612 CHARLESFIELD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREDERICKSBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22407-8358
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
571-488-7159
Provider Business Mailing Address Fax Number:
571-488-7159

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9612 CHARLESFIELD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREDERICKSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22407-8358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
571-488-7159
Provider Business Practice Location Address Fax Number:
571-488-7159
Provider Enumeration Date:
06/04/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  F05250852 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com