Individual
COLLEEN M KIVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
933 E HAVERFORD RD, BRYN MAWR, PA 19010-3819
(610) 649-6400
(610) 649-7971
Mailing address
933 E HAVERFORD RD, BRYN MAWR, PA 19010-3819
(610) 649-6400
(610) 649-7971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013045
PA
363LG0600X
Gerontology Nurse Practitioner
SP013045
PA
Other
Enumeration date
07/24/2013
Last updated
11/05/2014
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