Individual
KATHLEEN A SPACHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
225 S COBBS CREEK PKWY, PHILADELPHIA, PA 19139-3723
(215) 476-2223
(215) 476-3981
Mailing address
225 S COBBS CREEK PKWY, PHILADELPHIA, PA 19139-3723
(215) 476-2223
(215) 476-3981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NO06899300
NJ
163W00000X
Registered Nurse
RN280006L
PA
363LP0200X
Pediatric Nurse Practitioner
NJ00078300
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
TP001845D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058157
—
NJ
Enumeration date
01/24/2006
Last updated
12/17/2014
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