Provider Demographics
NPI:1245431410
Name:WHITEHEAD, ANNE KATHERINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:KATHERINE
Last Name:WHITEHEAD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ANNE
Other - Middle Name:KATHERINE
Other - Last Name:CROWLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7210 HILL TOP RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082
Mailing Address - Country:US
Mailing Address - Phone:610-352-5527
Mailing Address - Fax:
Practice Address - Street 1:5600 CITY AVE
Practice Address - Street 2:ST JOSEPHS UNIV HEALTH CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1308
Practice Address - Country:US
Practice Address - Phone:610-660-1175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN294020L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse