Provider Demographics
NPI:1053205674
Name:HAUGEN, CATHY (FNP-C)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:HAUGEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22895 BRAMBLETON PLZ STE 200
Mailing Address - Street 2:
Mailing Address - City:BRAMBLETON
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4878
Mailing Address - Country:US
Mailing Address - Phone:703-722-2312
Mailing Address - Fax:
Practice Address - Street 1:22895 BRAMBLETON PLZ STE 200
Practice Address - Street 2:
Practice Address - City:BRAMBLETON
Practice Address - State:VA
Practice Address - Zip Code:20148-4878
Practice Address - Country:US
Practice Address - Phone:703-722-2312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024192650363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily