Individual
KRISTIN M DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1020 BALTIMORE PIKE STE 100, GLEN MILLS, PA 19342-1365
(484) 227-7790
(484) 227-7791
Mailing address
1020 BALTIMORE PIKE STE 100, GLEN MILLS, PA 19342-1365
(484) 227-7790
(484) 227-7791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024182600
VA
363LF0000X
Family Nurse Practitioner
Primary
SP023638
PA
363LP2300X
Primary Care Nurse Practitioner
0024182600
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022656068
NEW EMPLOYER INFO
VA
Enumeration date
09/01/2021
Last updated
04/28/2022
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