Individual
STEPHANIE LYNN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH ST. AND CIVIC CENTER BLVD., PHILADELPHIA, PA 19104-4399
(215) 590-1000
Mailing address
34TH ST. AND CIVIC CENTER BLVD., PHILADELPHIA, PA 19104-4399
(215) 590-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
SP014782
PA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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