Individual
MRS. STEPHANIE SUTPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
231 CROSSWICKS RD STE 11, BORDENTOWN, NJ 08505-2602
(609) 298-7204
(609) 298-0491
Mailing address
231 CROSSWICKS RD STE 11, BORDENTOWN, NJ 08505-2602
(609) 298-7204
(609) 298-0491
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07722100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NN77221
STATE LICENSE NUMBER
NJ
Enumeration date
04/15/2008
Last updated
03/13/2018
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