Individual
MRS. KIMBERLY PEZZOTTI DEWIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
649 N LEWIS RD, STE 130, ROYERSFORD, PA 19468-1234
(610) 495-8101
(610) 495-8106
Mailing address
649 N LEWIS RD, STE 130, ROYERSFORD, PA 19468-1234
(610) 495-8101
(610) 495-8106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014948
PA
Other
Enumeration date
04/08/2015
Last updated
08/10/2016
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