Individual
KAREN C PESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMW
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-6944
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-6944
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008421L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW008421L
MIDWIFE LICENSE
PA
Enumeration date
03/28/2006
Last updated
12/23/2014
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