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Individual
MS. STEPHANIE MIDILE
Active
Individual
MS. STEPHANIE MIDILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP015717
PA
363LF0000X
Family Nurse Practitioner
Primary
SP015717
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103073925
—
PA
Enumeration date
12/23/2015
Last updated
01/27/2021
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