Damiano, Kristin M

Damiano, Kristin M is an individual health care provider with primary practice located at 1020 Baltimore Pike Ste 100 , Glen Mills PA 19342-1365. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Damiano, Kristin M can be contacted via phone (484) 227-7790.

Contact Information

Primary practice address
1020 Baltimore Pike Ste 100 Glen Mills PA 19342-1365
Phone: (484) 227-7790
Fax: (484) 227-7791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024182600 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024182600 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP023638 Pennsylvania

Profile Details

NPI number 1902574353
LBN Legal business name Damiano, Kristin M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2021
Last updated Apr 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902574353 NPPES
Virginia Other 2022656068 NEW EMPLOYER INFO

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