Individual
MISS STEPHANIE CHRISTINA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 590-1000
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP016933
PA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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