Individual provider · Type 1 NPI
Colleen Renee Kucharczuk, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1073656864
Active
Practice location
3400 Spruce St, 3 Rhoads
Philadelphia, PA 19104-4206
Fax (215) 615-3732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP009308 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1073656864
Colleen Renee Kucharczuk, CRNP's National Provider Identifier is 1073656864, issued on Feb 14, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 1, 2019.