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Individual

KRISTINE PERRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CRNP

Contact information

Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109
(717) 231-8772
(717) 231-8435
Mailing address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R176611
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
SP016203
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103244755
PA
Enumeration date
10/03/2016
Last updated
06/16/2021
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