Individual
STEFANIE MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2900
Mailing address
1945 NJ-33, NEPTUNE, NJ 07753
(732) 775-5500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP019823
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01379300
NJ
363LA2100X
Acute Care Nurse Practitioner
SP019823
PA
363LG0600X
Gerontology Nurse Practitioner
26NJ01379300
NJ
Other
Enumeration date
01/21/2019
Last updated
04/10/2024
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