Individual provider · Type 1 NPI
Kimberly K. Demchak, PNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1811959653
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Fax (602) 933-0373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN106821 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | AZ0230 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1811959653
Kimberly K. Demchak, PNP's National Provider Identifier is 1811959653, issued on Apr 5, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 16, 2013.