Individual
KATHRYN SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, WHNP-BC
Contact information
Practice address
105 VINEYARD WAY STE 200, WEST GROVE, PA 19390
(610) 444-7550
(610) 444-4656
Mailing address
105 VINEYARD WAY STE 200, WEST GROVE, PA 19390-8849
(610) 444-7550
(610) 444-4656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0043433
DE
363LW0102X
Women's Health Nurse Practitioner
LH-0000209
DE
363LW0102X
Women's Health Nurse Practitioner
Primary
SP017509
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103520849
—
PA
Enumeration date
08/18/2014
Last updated
02/04/2019
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