Provider Demographics
NPI:1457127342
Name:SULER, KATELYN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KATELYN
Middle Name:
Last Name:SULER
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 1:751 VANDENBURG RD APT 3127
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1676
Mailing Address - Country:US
Mailing Address - Phone:215-589-3721
Mailing Address - Fax:
Practice Address - Street 1:817 E BALTIMORE PIKE STE A
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1929
Practice Address - Country:US
Practice Address - Phone:610-444-0113
Practice Address - Fax:610-444-0744
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP028574363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics