Provider Demographics
NPI:1114732294
Name:FRITTS, KATHERINE DALE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:DALE
Last Name:FRITTS
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:19500 SANDRIDGE WAY STE 320
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-3695
Mailing Address - Country:US
Mailing Address - Phone:703-687-3105
Mailing Address - Fax:
Practice Address - Street 1:19500 SANDRIDGE WAY STE 320
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3695
Practice Address - Country:US
Practice Address - Phone:703-687-3105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant