Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Kathryn Elizabeth Fenwick, CRNP

Individual provider Nurse Practitioner · NPI 1790408615

Miss. Kathryn Elizabeth Fenwick, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2022, 4 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
4
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2022
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3400 Civic Center Blvd 1st Fl West Pavilion
Philadelphia, PA 19104
Phone: (215) 662-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP025952 (PA)

Record details

NPI number1790408615
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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