Doctor Name: | KATIE N KANDRYSAWTZ |
NPI Number: | 1447548193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP011484 |
Business Practice Address: | 3065 Windsor Rd Red Lion, PA - 173568533 |
Business Phone Number: | 7178511750 |
Business Fax Number: | 7178511760 |
Mailing Address: | 1803 Mount Rose Ave, Suite B3 YORK |
State: | PA |
Postal Code: | 174033026 |
Phone Number: | 7178511405 |
Fax Number: | 7178511760 |
NPI Enumeration Date: | 07/15/2011 |
NPI Last Update Date: | 12/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP011484 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |