Individual
KARISA JAIME MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
621 14TH AVE, BETHLEHEM, PA 18018-6410
(570) 762-4353
Mailing address
621 14TH AVE, BETHLEHEM, PA 18018-6410
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NR21220500
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
RN694085
PA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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