Individual
STEPHANIE RENEE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0026
(570) 824-3521
Mailing address
637 GIBSON AVE, KINGSTON, PA 18704-5319
(570) 592-2908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN731497
PA
246ZS0410X
Surgical Technologist
154534
PA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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