Organization
COORDINATED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE C. HARRIS CRNP (OWNER)
(609) 332-3852
Entity
Organization
Contact information
Practice address
913 S 7TH ST, PHILADELPHIA, PA 19147-2905
(609) 332-3852
Mailing address
913 S 7TH ST, PHILADELPHIA, PA 19147-2905
(609) 332-3852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008627
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273771
MEDICARE PTAN
PA
01
—
278325
MEDICARE PTAN
NJ
Enumeration date
07/15/2014
Last updated
08/14/2014
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