Individual
KATELYN MACCREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4594
(570) 573-8988
Mailing address
2216 SUMMER ST UNIT 2, PHILADELPHIA, PA 19103-1015
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021508
PA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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