Individual
KATHLEEN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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