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Individual

KATHERINE ISABEL STACKHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1150 1ST AVE, SUITE 805, KING OF PRUSSIA, PA 19406-1334
(484) 381-2249
(484) 681-2250
Mailing address
1150 1ST AVE, SUITE 805, KING OF PRUSSIA, PA 19406-1334
(484) 381-2249
(484) 681-2250

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202201194NP-PP
OR
363LF0000X
Family Nurse Practitioner
NP95020358
CA
363LF0000X
Family Nurse Practitioner
Primary
SP011778
PA

Other

Enumeration date
12/04/2011
Last updated
03/26/2026
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