Individual
MRS. KIRSTEN L WALASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3326
Mailing address
209 N MADISON AVE, CHERRY HILL, NJ 08002-1069
(609) 458-9225
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP018528
PA
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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