Individual provider · Type 1 NPI
Katharine Brucker
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1417664145
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
717 Monroe Ave
Glenside, PA 19038-2606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP023044 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1417664145
Katharine Brucker's National Provider Identifier is 1417664145, issued on Nov 2, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 2, 2022.