Individual
STACY KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
339 W SPRING ST, SUITE 102, TITUSVILLE, PA 16354-1655
(814) 827-9675
Mailing address
12053 CAMPBELL RD, TITUSVILLE, PA 16354-5621
(814) 827-8829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP005917B
PA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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