Individual
MS. STEPHANIE BURKHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2501 N 3RD ST FL 3, HARRISBURG, PA 17110-1904
(717) 782-4785
(717) 782-6471
Mailing address
2501 N 3RD ST FL 3, HARRISBURG, PA 17110-1904
(717) 782-4785
(717) 782-6471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN561064
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103012545
—
PA
Enumeration date
10/15/2012
Last updated
08/02/2024
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