Individual
STEFANIE A PHILISTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3320
Mailing address
4124 APPLEGATE CT, SUITLAND, MD 20746-3056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1036103
DC
Other
Enumeration date
11/08/2019
Last updated
10/19/2021
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