Healthcare Provider Details

I. General information

NPI: 1407576515
Provider Name (Legal Business Name): HEATHER WHITAKER KARR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 MCKEAN ROAD
SPRING HOUSE PA
19477
US

IV. Provider business mailing address

516 QUINCY ST
COLLEGEVILLE PA
19426-3995
US

V. Phone/Fax

Practice location:
  • Phone: 610-947-0087
  • Fax: 215-540-4743
Mailing address:
  • Phone: 610-947-0087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberSP025994
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: