Individual provider · Type 1 NPI

Katherine Elizabeth Wong, CPNP

Nurse Practitioner · Philadelphia, PA

NPI number 1104355098 Active

Practice location

2085 N 63rd St
Philadelphia, PA 19151-2675

Mailing address

1408 Germantown Avenue
Philadelphia, PA 19122

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X26NJ00730000 (NJ)
Nurse Practitioner Primary 363L00000XSP017222 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104355098

Katherine Elizabeth Wong, CPNP's National Provider Identifier is 1104355098, issued on Jun 5, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 6, 2018.