Individual
MRS. STEPHANIE WALSH ROUMIANTSEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
950 E MOUNTAIN DR, WILKES BARRE, PA 18711-0028
(570) 808-5770
(570) 808-6362
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-5770
(570) 808-6362
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN649103
PA
Other
Enumeration date
07/13/2022
Last updated
09/09/2025
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