Individual
MRS. KATHLEEN THERESA SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4306
(215) 590-4069
(215) 590-1420
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP003501N
PA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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