Provider Demographics
NPI:1760596068
Name:GARITI, KATHERINE OLSEN (APRN)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:OLSEN
Last Name:GARITI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3800 WOODLAND AVENUE
Mailing Address - Street 2:116A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-823-4031
Mailing Address - Fax:215-823-4040
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:116A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-4031
Practice Address - Fax:215-823-4040
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN187269L163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult