Healthcare Provider Details
I. General information
NPI: 1386776813
Provider Name (Legal Business Name): KATHLEEN F. EME MSN,CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/11/2007
Last Update Date: 02/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 SPRUCE ST SUITE 304
PHILA PA
19106-4022
US
IV. Provider business mailing address
700 SPRUCE ST SUITE 304
PHILADELPHIA PA
19106-4022
US
V. Phone/Fax
- Phone: 215-829-5727
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | TP005061C |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: