Individual
KRISTIN AHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
111 S 11TH ST STE 5480, PHILADELPHIA, PA 19107-4824
(267) 253-4711
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00685700
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014517
PA
363LG0600X
Gerontology Nurse Practitioner
SP014517
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022089
PRESCRIPTIVE AUTHORITY
PA
Enumeration date
12/08/2014
Last updated
08/03/2020
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