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Individual
KATYBETH MCCLELLAND
Active
Individual
KATYBETH MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014343
PA
363LN0005X
Critical Care Neonatal Nurse Practitioner
SP014343
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103114204
—
PA
Enumeration date
01/13/2015
Last updated
10/07/2020
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