Individual
KATELYN BROTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 WALNUT ST, PHILADELPHIA, PA 19107-5509
(570) 561-4279
Mailing address
128 SOUTH ST APT 3F, PHILADELPHIA, PA 19147-2428
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP018277
PA
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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