Provider Demographics
NPI:1861964702
Name:HUMMEL, KRISTIN PETRA (NP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:PETRA
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 BUCHANAN CT
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3096
Mailing Address - Country:US
Mailing Address - Phone:740-818-5849
Mailing Address - Fax:
Practice Address - Street 1:258 BUCHANAN CT
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3096
Practice Address - Country:US
Practice Address - Phone:740-818-5849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019641363LA2200X, 363LA2100X
VA0024192906363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health