Individual
STEPHANIE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5560
Mailing address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5560
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP013388
PA
Other
Enumeration date
11/18/2013
Last updated
12/23/2013
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