Kathleen Theresa Mack, CRNP
Nurse Practitioner, Family in Upper Darby, PA. Individual provider (NPI-1).
NPI number1932352002
StatusActive
Last updated in NPPESMay 13, 2014
Details
- NPI
- 1932352002
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kathleen Theresa Mack
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2008
- Last updated
- May 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP008049 | PA | Yes |
Practice location
1560 Garrett RdUpper Darby, PA 19082-4516
Phone 610-638-1076 · Fax 610-638-1085
Mailing address
1560 Garrett RdUpper Darby, PA 19082-4516
Phone 610-638-1076 · Fax 610-638-1085
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All 11 Family Nurse Practitioner providers in Upper Darby · All 569 providers in Upper Darby
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