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Individual

VERA KISHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4755 OGLETOWN STANTON RD STE 1900, NEWARK, DE 19718-2200
(302) 733-6510
(302) 733-3340
Mailing address
128 MEADOWBROOK LN, BROOKHAVEN, PA 19015-2813
(610) 247-0441

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0066773
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0012561
DE
363LF0000X
Family Nurse Practitioner
SP028210
PA

Other

Enumeration date
11/28/2023
Last updated
03/05/2024
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