Individual
KERISSA DEPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 861-8080
(610) 861-2989
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP013297
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013297
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP013297
STATE LICENSE
PA
Enumeration date
10/24/2013
Last updated
11/05/2024
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