Individual
KATHLEEN COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
340 N MIDDLETOWN RD, MEDIA, PA 19063-5597
(610) 891-5600
Mailing address
248 SPRINGHOUSE LN, MEDIA, PA 19063-5347
(610) 721-0277
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP006850C
PA
363LG0600X
Gerontology Nurse Practitioner
SP006851H
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP025692
PA
Other
Enumeration date
02/21/2006
Last updated
05/17/2022
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