Doctor Name: | TINA LOUISE KANE |
NPI Number: | 1366688079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009794 |
Business Practice Address: | 3826 Bayshore Rd North Cape May, NJ - 082043208 |
Business Phone Number: | 6098863636 |
Business Fax Number: | 6098864880 |
Mailing Address: | 3550 Naamans Creek Rd, BOOTHWYN |
State: | PA |
Postal Code: | 190612418 |
Phone Number: | 2672075060 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2008 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP009794 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |