Individual
KATIE GAVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, WHNP-BC
Contact information
Practice address
825 OLD LANCASTER RD STE 170, BRYN MAWR, PA 19010-3234
(610) 527-0800
Mailing address
163 S WESTVIEW AVE, FEASTERVILLE TREVOSE, PA 19053-5970
(508) 926-9498
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
26NJ01264600
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
SP024454
PA
Other
Enumeration date
02/25/2022
Last updated
09/20/2024
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