Nishida, Kathleen M

Nishida, Kathleen M is an individual health care provider with primary practice located at 4510 Frankford Ave , Philadelphia PA 19124-3602. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Nursing Service Providers / Registered Nurse. Other Service Providers / Midwife is her primary health care specialty. Nishida, Kathleen M can be contacted via phone (215) 744-1302.

Contact Information

Primary practice address
4510 Frankford Ave Philadelphia PA 19124-3602
Phone: (215) 744-1302
Fax: (215) 744-2544
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MW008566L Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN355082L Pennsylvania

Profile Details

NPI number 1003913823
LBN Legal business name Nishida, Kathleen M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 6th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003913823 NPPES
Pennsylvania MEDICAID 001792598

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