Individual
MRS. THERESA TESTA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506
(215) 755-7700
Mailing address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506
(610) 299-0860
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP020254
PA
Other
Enumeration date
12/12/2019
Last updated
12/20/2019
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