Individual
MISS KATHRYN ELIZABETH FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, 1ST FLOOR, WEST PAVILION, PHILADELPHIA, PA 19104
(215) 662-3202
Mailing address
3400 CIVIC CENTER BLVD, 1ST FLOOR, WEST PAVILION, PHILADELPHIA, PA 19104
(215) 662-3202
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP025952
PA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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