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Individual

DENISE L STASUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3400 SPRUCE STREET, GROUND RAVDIN, PHILADELPHIA, PA 19104
(215) 662-7248
Mailing address
3400 SPRUCE STREET, GROUND RAVDIN, PHILADELPHIA, PA 19104
(215) 662-7248

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010392
PA

Other

Enumeration date
10/29/2009
Last updated
05/17/2021
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