Individual
KATHLEEN WERTHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 486-2813
(845) 485-9927
Mailing address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 486-2813
(845) 485-9927
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
258366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841287190
—
NY
Enumeration date
05/04/2017
Last updated
05/04/2017
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