Individual
KIRSTIN MARIA PATRAGNONI-SAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
120 MADISON AVENUE, VIRTUA PHOENIX OB/GYN- MOUNT HOLLY- SUITE #B, PHILADELPHIA, PA 19144-5497
(609) 444-5500
(609) 444-5506
Mailing address
1624 BROWN ST, PHILADELPHIA, PA 19130-2807
(856) 278-3191
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
SP007724
PA
363LF0000X
Family Nurse Practitioner
Primary
26NJ00032500
NJ
Other
Enumeration date
05/09/2007
Last updated
09/29/2015
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