Individual
KATHLEEN ANN HIRTHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
166 HANOVER ST, 203, WILKES BARRE, PA 18702-3549
(570) 825-8780
(570) 825-8785
Mailing address
166 HANOVER ST, 203, WILKES BARRE, PA 18702-3549
(570) 825-8780
(570) 825-8785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN275561L
PA
363L00000X
Nurse Practitioner
Primary
SP006387B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016562550010
—
PA
Enumeration date
01/09/2007
Last updated
08/01/2007
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