Deppe, Kerissa

Deppe, Kerissa is an individual health care provider with primary practice located at 2775 Schoenersville Rd , Bethlehem PA 18017-7307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Deppe, Kerissa can be contacted via phone (610) 861-8080.

Contact Information

Primary practice address
2775 Schoenersville Rd Bethlehem PA 18017-7307
Phone: (610) 861-8080
Fax: (610) 861-2989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP013297 Pennsylvania

Profile Details

NPI number 1386072585
LBN Legal business name Deppe, Kerissa
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2013
Last updated May 3rd, 2022 - about 4 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 1386072585 NPPES
Pennsylvania Other SP013297 STATE LICENSE

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