Basic Information
| Provider Information | |||||||||
| NPI: | 1760596068 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARITI | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | OLSEN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | A.P.R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3800 WOODLAND AVENUE | ||||||||
| Address2: | 116A | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158234031 | ||||||||
| FaxNumber: | 2158234040 | ||||||||
| Practice Location | |||||||||
| Address1: | 3900 WOODLAND AVE | ||||||||
| Address2: | 116A | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191044551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158234031 | ||||||||
| FaxNumber: | 2158234040 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0809X | RN187269L | PA | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult |
No ID Information.