Doctor Name: | MS. BETH ANN KOTARSKI |
NPI Number: | 1487991691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.R.N.P |
License Number: | VP006640B |
Business Practice Address: | 500 College Ave Worth Student Health Center Swarthmore, PA - 190811306 |
Business Phone Number: | 6103288058 |
Business Fax Number: | 6106905724 |
Mailing Address: | 300 Joy Ln, WEST CHESTER |
State: | PA |
Postal Code: | 193805110 |
Phone Number: | 6109183860 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2013 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | VP006640B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |