Individual
MS. KATHERINE ANNE IACOBELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(267) 426-2882
(267) 426-9800
Mailing address
34TH STREET AND CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(215) 590-6690
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ01069300
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP012431
PA
Other
Enumeration date
10/18/2012
Last updated
09/22/2023
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