| NPI | 1710616065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN COULTER Nure Practitioner 610-721-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-08-09 |