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NPI Code Detail

MEDICARE: HEATHER DEIMLER KIO CRNP

MEDICARE:   HEATHER DEIMLER KIO  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
1363LF0000XFamily Nurse PractitionerSP026006PA

General Provider Information

NPI Number : 1821724139
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER DEIMLER KIO CRNP
Provider Business Mailing Address
First Line : PO BOX 307
Second Line :
City : PORT ALLEGANY
State : PA
Zip : 16743-0307
Country : US
Telephone Number : 814-642-9531
Fax Number : 814-642-2020
Provider Business Practice Location Address
First Line : 1 WILLOW ST
Second Line :
City : PORT ALLEGANY
State : PA
Zip : 16743-1332
Country : US
Telephone Number : 814-642-9531
Fax Number : 814-642-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2022
Last Update Date : 07/28/2022

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Directions to “ HEATHER DEIMLER KIO CRNP” Practice Location

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