Individual
STEPHANIE FIDUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1608 WALNUT ST STE 1700, PHILADELPHIA, PA 19103-5410
(215) 600-0062
(800) 768-1738
Mailing address
1608 WALNUT ST STE 1700, PHILADELPHIA, PA 19103-5410
(215) 600-0062
(800) 768-1738
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP029432
PA
Other
Enumeration date
04/26/2024
Last updated
01/05/2026
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