Individual
KATHERINE DELLE BIRKHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8082
(774) 441-8056
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2307980
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2307980
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110148050A
—
MA
Enumeration date
09/14/2018
Last updated
09/03/2024
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