Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP009964 | PA |
NPI | 1386894939 |
---|---|
Provider Name | Patricia Anne Kroekel |
First Address | Newtown, PA 18940-1873 |
Second Address | Langhorne, PA 19047-1224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 20/05/2021 |