Provider Demographics
NPI:1265550545
Name:BREHM, KATHLEEN M (RN, BSN,MSN,FNP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:M
Last Name:BREHM
Suffix:
Gender:F
Credentials:RN, BSN,MSN,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2337 HOLLOW VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7564
Mailing Address - Country:US
Mailing Address - Phone:805-573-4671
Mailing Address - Fax:
Practice Address - Street 1:36 UNIVERSITY DR
Practice Address - Street 2:LEHIGH UNIV HEALTH CENTER
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-3062
Practice Address - Country:US
Practice Address - Phone:610-758-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA650904163W00000X
PASP012524363LF0000X
NYF337026363LF0000X
NJ26NJ0035160363LF0000X
CA21106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily