Individual
KATHERINE JANE PONSOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
529 BROOME ST APT 20, NEW YORK, NY 10013-6404
(772) 285-3641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11022019
FL
363LP0200X
Pediatric Nurse Practitioner
383073
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11022019
FL
Other
Enumeration date
11/04/2019
Last updated
10/11/2022
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