Individual
KATHERINE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4824 MCKEAN AVE, PHILADELPHIA, PA 19144-4708
(757) 319-2713
Mailing address
4824 MCKEAN AVE, PHILADELPHIA, PA 19144-4708
(757) 319-2713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001266487
VA
163W00000X
Registered Nurse
RN709596
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019491
PA
367A00000X
Advanced Practice Midwife
MW010505
PA
Other
Enumeration date
07/27/2018
Last updated
03/25/2025
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