Provider Demographics
NPI:1891358891
Name:MARCINKOWSKI, KATRINA ANNE (MD)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:ANNE
Last Name:MARCINKOWSKI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 KEMPSVILLE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3957
Mailing Address - Country:US
Mailing Address - Phone:757-614-1086
Mailing Address - Fax:
Practice Address - Street 1:880 KEMPSVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3957
Practice Address - Country:US
Practice Address - Phone:757-614-1086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101285634207V00000X
390200000X
NJ25MA11701800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program