Individual
STEPHANIE WALLBILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(484) 619-0900
Mailing address
3910 ADLER PL, BETHLEHEM, PA 18017-9299
(610) 297-3100
(610) 273-5908
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
07/02/2026
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