Individual
MS. STEPHANIE M MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1072 JUSTISON ST, WILMINGTON, DE 19801-5162
(302) 660-3378
Mailing address
47 PARISH LN, WILLINGBORO, NJ 08046-2707
(609) 234-9665
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00139400
NJ
Other
Enumeration date
08/16/2007
Last updated
12/21/2021
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