Individual provider · Type 1 NPI
Mary Kathryn Woltjen, CNM CRNP RN
Nurse Practitioner · Phila, PA
Practice location
7604 Central Ave, Suite 101
Phila, PA 19111-2433
Fax (215) 745-9072
Mailing address
623 Unruh Ave, 2nd Fl
Phila, PA 19111-4709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN279256L (PA) |
| Nurse Practitioner Primary | 363L00000X | TP004106G (PA) |
| Women's Health Clinical Nurse Specialist | 364SW0102X | MW008564L (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 1932185576
Mary Kathryn Woltjen, CNM CRNP RN's National Provider Identifier is 1932185576, issued on Dec 15, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phila, PA. The record was last updated on Jul 13, 2026.