Healthcare Provider Details

I. General information

NPI: 1851825210
Provider Name (Legal Business Name): KATHERINE NAHAS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRINE LYDON CNM

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 04/20/2022
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 BELLEVUE AVE FL 3
TRENTON NJ
08618-4514
US

IV. Provider business mailing address

41 UNIVERSITY DR SUITE 300
NEWTOWN PA
18940-1873
US

V. Phone/Fax

Practice location:
  • Phone: 609-394-4111
  • Fax: 609-394-4070
Mailing address:
  • Phone: 215-710-7037
  • Fax: 215-710-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: