KATHERINE ELIZABETH WONG CPNP
NPI 1104355098
Nurse Practitioner in Philadelphia, PA

Active since June 05, 2017
2085 N 63RD ST, PHILADELPHIA, PA 19151(215) 452-0304 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Elizabeth Wong Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE ELIZABETH WONG CPNP (NPI 1104355098) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017222) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1104355098
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE ELIZABETH WONGCredential: CPNP
Location Address2085 N 63RD STPhiladelphia, PA 19151-2675
Mailing Address1408 Germantown AvenuePhiladelphia, PA 19122 · (917) 620-9396
Sole ProprietorNo
Enumeration DateJune 5, 2017
Last NPPES UpdateApril 6, 2018
NPI 1104355098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in PA · SP017222 Licensed in NJ · 26NJ00730000
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2085 N 63RD ST, Philadelphia, PA 19151

Other Identifiers 1

Medicaid1033698760001PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Wong's NPI number?

The NPI number for Katherine Wong is 1104355098. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Katherine Wong located?

Katherine Wong practices at 2085 N 63rd St, Philadelphia, PA 19151. The listed phone number is (215) 452-0304.

What is Katherine Wong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Katherine Wong was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.