Kaitlin C Gudger, CPNP-PC is a
Nurse Practitioner - Pediatrics physician based in Suffolk, Virginia. Kaitlin C Gudger is licensed to practice in Virginia (license number 0024176410) and her current practice location is 1005 Commercial Ln Ste 220, Suffolk, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 668-2600.
NPI number for Kaitlin C Gudger is 1194214924 and her current mailing address is Po Box 2114, Suffolk, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194214924.
Physician's Profile
Full Name | Kaitlin C Gudger |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 1005 Commercial Ln Ste 220, Suffolk, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194214924
- Provider Enumeration Date: 05/07/2018
- Last Update Date: 05/17/2023
Medical Identifiers
Medical identifiers for Kaitlin C Gudger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194214924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 00001231765 (Virginia) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 0024176410 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaitlin C Gudger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaitlin C Gudger, CPNP-PC Po Box 2114, Suffolk, VA 23432-0114 Ph: (757) 618-3678 | Kaitlin C Gudger, CPNP-PC 1005 Commercial Ln Ste 220, Suffolk, VA 23434 Ph: (757) 668-2600 |
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