Individual
KATIE REBECCA STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6523
(570) 271-8056
Mailing address
400 HOLLY DR, DAUPHIN, PA 17018-9764
(814) 441-0085
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028632
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
SP028632
PA
363LG0600X
Gerontology Nurse Practitioner
SP028632
PA
Other
Enumeration date
11/07/2023
Last updated
01/24/2024
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