Individual
KATHERINE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8766
(215) 243-3265
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8766
(215) 243-3265
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP019747
PA
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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