Individual
KIRSTY M DEMILLE
Active
Individual
KIRSTY M DEMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP024300
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP024300
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP024300
STATE LICENSE
PA
Enumeration date
11/04/2021
Last updated
03/06/2025
Update your record
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