Individual
BRIANA STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 RIDGE AVE STE 1, PHILADELPHIA, PA 19128-2468
(866) 389-2727
Mailing address
6701 RIDGE AVE STE 1, PHILADELPHIA, PA 19128-2468
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026720
PA
Other
Enumeration date
01/09/2023
Last updated
05/24/2023
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