Individual
KATHLEEN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7700 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3549
(215) 247-1172
(215) 247-0663
Mailing address
7700 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3549
(215) 247-1172
(215) 247-0663
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP002183D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002675
PRESCRIPTION AUTH
PA
01
—
93082
NURSE CERTIFICATE
PA
01
—
RN291720L
RN LICENSE
PA
01
—
SP002183D
CRNP LICENSE
PA
Enumeration date
05/14/2007
Last updated
12/22/2014
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