Doctor Name: | MRS. KATHLEEN LEFLAR DILEVA |
NPI Number: | 1003979634 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | VP004737P |
Business Practice Address: | 443 Germantown Pike Lafayette Hill, PA - 194441813 |
Business Phone Number: | 6108284060 |
Business Fax Number: | |
Mailing Address: | 107 S Mennonite Rd, COLLEGEVILLE |
State: | PA |
Postal Code: | 194262868 |
Phone Number: | 6108315813 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | VP004737P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |