Individual
HEATHER L. DERAFELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1430 DEKALB ST, NORRISTOWN, PA 19401-3406
(610) 278-5117
(610) 278-5167
Mailing address
PO BOX 311, NORRISTOWN, PA 19404-0311
(610) 278-5117
(610) 278-5167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN621135
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000072290052
—
PA
Enumeration date
06/15/2016
Last updated
06/15/2016
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