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Contact Information

KATHERINE DISSTON, CRNP
5003 UMBRIA ST
PHILADELPHIA, PA19128-4369
 Phone: 215-483-3444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHERINE DISSTON · (Female)

NPI Number 1336914894
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 11/15/2023
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP028706
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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