Individual
KARIS DEROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
74 HARRISON SCHOOL RD, GRANTVILLE, PA 17028-8222
(850) 447-4687
Mailing address
74 HARRISON SCHOOL RD, GRANTVILLE, PA 17028-8222
(850) 447-4687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
710269
PA
367A00000X
Advanced Practice Midwife
Primary
SP025979
PA
Other
Enumeration date
05/04/2022
Last updated
05/08/2023
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