OrganizationActive
Advanced Health & Psychiatry, PLLC
NPI 1710616065 · Psychiatric/Mental Health Nurse Practitioner · Media, PA
Provider details
- NPI number
- 1710616065
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kathleen Coulter, Nure Practitioner(610) 721-0277
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
340 N Middletown Rd
Media, PA 19063-5505
Phone: (610) 891-5600
Approximate (ZIP-level) locationGet directions
Mailing address
248 Springhouse Ln
Media, PA 19063-5347
Additional practice locations (1)
- 1 E Beacon Light LnChester, PA 19013-4433Phone: (610) 490-3900
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-08-09
- Certified
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.