Individual
MRS. STEPHANIE BOISVERT CANAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
YOUTH ADVOCATE PROGRAMS, INC 1515 N FRONT STREET, HARRISBURG, PA 17102-1815
(717) 232-3150
(717) 232-3127
Mailing address
520 WINDY WAY, NEW CUMBERLAND, PA 17070
(401) 632-6670
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN44775
RI
Other
Enumeration date
04/11/2012
Last updated
07/21/2022
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