Individual
KIMBERLY JEANETTE MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 LAWN AVE, SELLERSVILLE, PA 18960-1548
Mailing address
306 E MAIN ST, KNOXVILLE, PA 16928-9747
(570) 439-1937
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP024749
PA
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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