Individual
CAROLINE STIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
910 FITZWATER ST, PHILADELPHIA, PA 19147-2736
(908) 458-2181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN672298
PA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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