CAROLINE F DERICHEMOND

WILKES BARRE, PA
NPI1477535318
Former NameCAROLINE F GRAHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP007053)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP007053)
Enumeration Date2005-11-16
Last Update Date2020-07-30
Business Address
CAROLINE F DERICHEMOND CRNP
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-808-6020
Mailing Address
CAROLINE F DERICHEMOND CRNP
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144