Most Relevant Information
Provider Data
| NPI Number: | 1003237645 |
| Provider Name: | KATHLEEN ULRICH CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | SP013539 |
Most Important Dates
| Enumeration Date: | 12/29/2013 |
| Last Updated: | 08/09/2021 |
Provider Practice Location
300 FOUR FALLS CORPORATE CENTER, SUITE 260
WEST CONSHOHOCKEN
PA
194281456
Practice Location Phone/Fax
| Phone: | 8448263446 |
| Fax: |
Provider Mailing Location
300 FOUR FALLS CORPORATE CENTER, SUITE 260
WEST CONSHOHOCKEN
PA
194281456
Provider Mailing Phone/Fax
| Phone: | 8448263446 |
| Fax: |