Individual
STEPHANIE WALLBILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3477 CORPORATE PKWY STE 100, CENTER VALLEY, PA 18034-8237
(484) 626-0480
(484) 896-9002
Mailing address
1 E BROAD ST STE 130, BETHLEHEM, PA 18018-5934
(484) 626-0480
(484) 896-9002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017627
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
Enumeration date
05/26/2017
Last updated
04/05/2024
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