Katlin Grace Fendler, CRNP | |
111 S 11th St, Philadelphia, PA 19107-4824 | |
(609) 675-6959 | |
Not Available |
Full Name | Katlin Grace Fendler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 111 S 11th St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043784770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | SP019858 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson University Physicians | 7911819180 | 1273 |
Entity Name | Jefferson University Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Mailing Address | Practice Location Address |
---|---|
Katlin Grace Fendler, CRNP 1025 Walnut St Ste 700, Philadelphia, PA 19107-5001 Ph: () - | Katlin Grace Fendler, CRNP 111 S 11th St, Philadelphia, PA 19107-4824 Ph: (609) 675-6959 |
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