MEDICARE: MRS. KATHY ABEL CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP008756	PA
2	363LF0000X	Family Nurse Practitioner	26NJ00090700	NJ

General Provider Information

NPI Number	:	1649227570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHY ABEL CRNP

Provider Business Mailing Address
First Line	:	34TH AND CIVIC CENTER BOULEVARD
Second Line	:	2ND FLOOR, WOOD BUILDING, ORTHOPEDICS
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4399
Country	:	US
Telephone Number	:	215-590-1527
Fax Number	:	215-590-1501

Provider Business Practice Location Address
First Line	:	34TH AND CIVIC CENTER BOULEVARD
Second Line	:	2ND FLOOR, WOOD BUILDING, ORTHOPEDICS
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4399
Country	:	US
Telephone Number	:	215-590-1527
Fax Number	:	215-590-1501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/08/2007

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