Provider Demographics
NPI:1417532409
Name:DEMSKY, AIMEE (AGACNP-BC, MSN, RN)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:DEMSKY
Suffix:
Gender:F
Credentials:AGACNP-BC, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11970 N CENTRAL EXPY STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3787
Mailing Address - Country:US
Mailing Address - Phone:972-566-8855
Mailing Address - Fax:
Practice Address - Street 1:11970 N CENTRAL EXPY STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3787
Practice Address - Country:US
Practice Address - Phone:972-566-8855
Practice Address - Fax:972-566-7509
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1005539363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care