Individual
KIRSTY M DEMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
325 W BROAD ST, BETHLEHEM, PA 18018-5526
(484) 626-9250
(484) 626-9255
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 629-2282
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
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