Individual
KATHLEEN BORSA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
605 W STATE STREET, MEDIA, PA 19063
(610) 565-8600
(610) 891-9238
Mailing address
605 W STATE ST, MEDIA, PA 19063-2620
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP004008C
PA
Other
Enumeration date
07/07/2006
Last updated
03/10/2011
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