Individual provider · Type 1 NPI
Kathryn M. Semmelrock, AGPCNP
Adult Health Nurse Practitioner · Hackensack, NJ
NPI number
1245756808
Active
Practice location
20 Prospect Ave
Hackensack, NJ 07601-1997
Fax (551) 996-0831
Mailing address
170 Maple Ave Ste 502
White Plains, NY 10601-4708
Other practice locations
- 170 Maple Ave Ste 502, White Plains, NY 10601-4708 · (914) 948-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 308316 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ01049100 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1245756808
Kathryn M. Semmelrock, AGPCNP's National Provider Identifier is 1245756808, issued on Aug 16, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hackensack, NJ. The record was last updated on Feb 9, 2026.