Katharine Grace Burke, AGPCNP
Nurse Practitioner, Primary Care in Bala Cynwyd, PA. Individual provider (NPI-1).
NPI number1336851757
StatusActive
Last updated in NPPESJan 4, 2023
Details
- NPI
- 1336851757
- Entity type
- Individual (NPI-1)
- Name
- Katharine Grace Burke
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2022
- Certification date
- Jan 4, 2023
- Last updated
- Jan 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | SP025115 | PA | Yes |
Practice location
150 Monument RdBala Cynwyd, PA 19004-1702
Phone 610-747-3400
Mailing address
2010 Wilder StPhiladelphia, PA 19146-4525
Phone 610-574-8332
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