Individual
MRS. KATHLEEN ANN MCCREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4233
(215) 707-8062
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4233
(215) 707-8062
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
SP015385
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP015385
PA
Other
Enumeration date
10/26/2015
Last updated
10/04/2021
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