Individual
MRS. STEPHANIE ELIZABETH EASTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1638 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3846
(215) 551-3325
Mailing address
1638 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3846
(215) 551-3325
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012745
PA
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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