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Individual

MS. KRISTIN ELIZABETH MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
701 E MARSHALL STREET, WEST CHESTER, PA 19380-4412
(610) 431-5472
(610) 430-2914
Mailing address
804 SCOTT NIXON MEMORIAL DRIVE, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 650-1034

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN523431L
PA
172A00000X
Driver
23814069
PA
363L00000X
Nurse Practitioner
Primary
SP009046
PA

Other

Enumeration date
11/14/2006
Last updated
10/05/2018
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