National Provider Identifier

Mikelle Demmerley

Mikelle Demmerley is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Springville, NY and a listed phone number of (716) 592-2832.

NPI 1437656345Springville, NYPediatrics Physician

Profile Overview

NPI
1437656345
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
April 07, 2018
Last Updated
April 21, 2025

Practice Location

  • 210 E Main St Ste 301
  • Springville, NY 14141-1453

Phone: (716) 592-2832

Specialties

  • Pediatrics Physician (208000000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1437656345
Entity Type
Individual
Last Name
Demmerley
First Name
Mikelle
Mailing Street Address
210 E Main St Ste 301
Mailing City
Springville
Mailing State
NY
Mailing ZIP Code
14141-1453
Mailing Country
US
Practice Street Address
210 E Main St Ste 301
Practice City
Springville
Practice State
NY
Practice ZIP Code
14141-1453
Practice Country
US
Practice Phone
(716) 592-2832
Enumeration Date
April 07, 2018
Last Updated
April 21, 2025
Sex
Female
Sole Proprietor
No
Certification Date
April 21, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X), Student in an Organized Health Care Education/Training Program (390200000X)
Other Identifiers
06585726 (NY)