MEDICARE: KAITLYN M GRAFFIN CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	SP021185	PA

General Provider Information

NPI Number	:	1023614393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN M GRAFFIN CRNP

Provider Business Mailing Address
First Line	:	801 OSTRUM ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1000
Country	:	US
Telephone Number	:	484-526-6048
Fax Number	:	833-213-6428

Provider Business Practice Location Address
First Line	:	2363 MACARTHUR RD
Second Line	:
City	:	WHITEHALL
State	:	PA
Zip	:	18052-4523
Country	:	US
Telephone Number	:	484-822-6000
Fax Number	:	484-822-6010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2020
Last Update Date	:	06/04/2026

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