Individual
KRISTY KIERMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1620 W HARRISON ST # 11E, CHICAGO, IL 60612-3801
(312) 947-1100
Mailing address
4950 N WESTERN AVE APT 4E, CHICAGO, IL 60625-8344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022030275
IL
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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