Provider Demographics
NPI:1255621504
Name:MAURER, KATHLEEN (CRNP)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:MAURER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 RAMSAY RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2447
Mailing Address - Country:US
Mailing Address - Phone:267-664-2700
Mailing Address - Fax:215-942-6654
Practice Address - Street 1:959 RAMSAY RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2447
Practice Address - Country:US
Practice Address - Phone:267-664-2700
Practice Address - Fax:215-942-6654
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007169363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily