Individual provider · Type 1 NPI

Katherine Disston, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1336914894 Active

Practice location

5003 Umbria St
Philadelphia, PA 19128-4369

Mailing address

4626 Spruce St Apt 4
Philadelphia, PA 19139-4582

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP028706 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1336914894

Katherine Disston, CRNP's National Provider Identifier is 1336914894, issued on Nov 15, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 15, 2023.