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Dr. Katherine Deetta Greenwalt, FNP-C
Family Nurse Practitioner in Pasadena, California
NPI 1639763675

Katherine Deetta Greenwalt is a Family Nurse Practitioner based in Pasadena, CA and is specialized in Family. Katherine Deetta Greenwalt practices in Pasadena, CA and has the professional credentials of FNP-C. The NPI Number for Katherine Deetta Greenwalt is 1639763675 and holds a License No. 95027605 (California).

The current practice location address for Katherine Deetta Greenwalt is 1017 S Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 415-939-4962.

Location: 1017 S Fair Oaks Ave, Pasadena, CA, 91105-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639763675
Provider Name
Katherine Deetta Greenwalt
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1017 S Fair Oaks Ave, Pasadena, CA, 91105-2621
Phone Number
415-939-4962
Fax Number
Provider Enumeration Date
02/20/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1017 S Fair Oaks Ave
City
Pasadena
State
California
Zip
91105-2621
Phone Number
415-939-4962
Fax Number
person
Provider Business Mailing Address Details
Address
1017 S Fair Oaks Ave
City
Pasadena
State
California
Zip
91105-2621
Phone Number
415-939-4962
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95027605 (California)
Definition
Definition to come...
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