Active NPIIndividual provider

Katie Wetherill, APN

Nurse Practitioner, Psych/Mental Health in Newark, New Jersey

NPI Number1114936994
Practice location
550 Broad St Ste 606, Newark, NJ 07102-4537
Fax
877-485-8918
Last updated
September 20, 2024

Katie Wetherill is a Nurse Practitioner, Psych/Mental Health based in Newark, NJ. Katie Wetherill practices in Newark, NJ and has the professional credentials of APN. The NPI Number for Katie Wetherill is 1114936994 and holds a License No. 26NJ00103500 (NJ). The current practice location address for Katie Wetherill is 550 Broad St Ste 606, Newark, NJ 07102-4537 and can be reached out via phone at 201-822-1161 and via fax at 877-485-8918.

Provider Profile Details

NPI Number
1114936994
Provider Name
Katie Wetherill
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
550 Broad St Ste 606, Newark, NJ 07102-4537
Phone Number
201-822-1161
Fax Number
877-485-8918
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Other Names
-- Katie Morgan, APN (Former Name)
Provider Enumeration Date
August 7, 2006
Last Update Date
September 20, 2024
Certification Date
September 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
550 Broad St Ste 606
Newark, NJ 07102-4537
City
Newark
Zip
07102-4537
Phone Number
201-822-1161
Fax Number
877-485-8918
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
134 Arch St
Apt 501
Philadelphia, PA 19106-2266
City
Philadelphia
State
PA
Zip
19106-2266

License Information

License Number (1)
26NJ00103500
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
26NJ00103500
License State (2)
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katie Wetherill, APN?

The NPI number of Katie Wetherill, APN is 1114936994. It was assigned on August 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Katie Wetherill, APN?

Katie Wetherill, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00103500.

Where does Katie Wetherill, APN practice?

The practice location is 550 Broad St Ste 606, Newark, NJ 07102-4537. The office can be reached at 201-822-1161 (phone) or 877-485-8918 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114936994 directly on the NPPES registry website.

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