Individual
MRS. CATHERINE LEIGH BIRDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9896 BUSTLETON AVE, PHILADELPHIA, PA 19115-5202
(877) 318-3026
Mailing address
9896 BUSTLETON AVE, PHILADELPHIA, PA 19115-5202
(877) 318-3026
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP015835
PA
364SA2200X
Adult Health Clinical Nurse Specialist
SP015835
PA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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