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Individual
MARY KATHRYN WOLTJEN
Active
Individual
MARY KATHRYN WOLTJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM CRNP RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN279256L
PA
363L00000X
Nurse Practitioner
Primary
TP004106G
PA
364SW0102X
Women's Health Clinical Nurse Specialist
MW008564L
PA
Other
Enumeration date
12/15/2005
Last updated
07/13/2026
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