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Organization
ADVANCED HEALTH & PSYCHIATRY, PLLC
Active
Organization
ADVANCED HEALTH & PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN COULTER CRNP (NURE PRACTITIONER)
(610) 721-0277
Entity
Organization
Contact information
Practice address
340 N MIDDLETOWN RD, MEDIA, PA 19063-5505
(610) 891-5600
Mailing address
248 SPRINGHOUSE LN, MEDIA, PA 19063-5347
(610) 721-0277
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/09/2022
Last updated
08/09/2022
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