Individual
KATHRYN WELLES GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
99 BARCLAY ST, NEWTOWN, PA 18940-1593
(215) 860-4000
Mailing address
1929 N HOWARD ST, PHILADELPHIA, PA 19122-2411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021304
PA
Other
Enumeration date
05/10/2021
Last updated
05/24/2021
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