Individual
MRS. HEATHER CHRISTINE KRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462
(610) 272-8221
(610) 272-5655
Mailing address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
(610) 272-5655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP007768
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP007768
PA
363LG0600X
Gerontology Nurse Practitioner
SP007767
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07820564
—
PA
01
—
233049357
TAX ID
PA
Enumeration date
10/21/2005
Last updated
06/20/2018
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