Individual
KATHLEEN O DEMUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
255 W LANCASTER AVE STE 330, PAOLI, PA 19301-1766
(610) 786-3200
(610) 786-3208
Mailing address
255 W. LANCASTER AVE, SUITE 330, PAOLI, PA 19301
(610) 786-3200
(610) 786-3208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
VP004650C
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
VP004650C
PA
Other
Enumeration date
07/28/2006
Last updated
07/21/2022
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