Provider Demographics
NPI:1861858029
Name:PIETROWSKI, KATHERINE (RN,LAC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:PIETROWSKI
Suffix:
Gender:F
Credentials:RN,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1867
Mailing Address - Country:US
Mailing Address - Phone:610-825-7027
Mailing Address - Fax:
Practice Address - Street 1:285 ADAMS RD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1867
Practice Address - Country:US
Practice Address - Phone:610-825-7027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN332510L163W00000X
PAAK000621171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse