Individual
MRS. KATRINA LYNN HETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0001
(570) 808-7300
Mailing address
407 ROARING BROOK DR, HUNLOCK CREEK, PA 18621-3133
(570) 362-9123
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027936
PA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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