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NPI Code Detail

MEDICARE: MS. KARA MICHELLE COHEN

MEDICARE: MS. KARA MICHELLE COHEN
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
1163W00000XRegistered NurseRN602057PA
2363LA2200XAdult Health Nurse PractitionerSP013409PA

General Provider Information

NPI Number : 1538591383
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARA MICHELLE COHEN
Provider Business Mailing Address
First Line : 2144 CECIL B MOORE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-4014
Country : US
Telephone Number : 215-320-6187
Fax Number : 267-323-2590
Provider Business Practice Location Address
First Line : 2144 CECIL B MOORE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-4014
Country : US
Telephone Number : 215-320-6187
Fax Number : 267-323-2590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2013
Last Update Date : 07/21/2022

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Directions to “ MS. KARA MICHELLE COHEN ” Practice Location

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