Individual
STEPHANIE M HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7600 CENTRAL AVE, PHILA, PA 19111-2442
(215) 720-2084
Mailing address
151 W JULIANNA DR, CHURCHVILLE, PA 18966-1217
(215) 364-2393
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
RN302830L
PA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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