Provider Demographics
NPI:1720397193
Name:BARD, KATIE HONTZ (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:HONTZ
Last Name:BARD
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:PEARL HALL
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3902
Mailing Address - Country:US
Mailing Address - Phone:610-447-6136
Mailing Address - Fax:610-447-2215
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:PEARL HALL
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-447-6136
Practice Address - Fax:610-447-2215
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PABAR104355562363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health