Individual
SUSAN ELAINE STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2918 6TH AVE, ALTOONA, PA 16602-1917
(814) 944-6055
(814) 944-1912
Mailing address
RD 2 BOX 238, MARTINSBURG, PA 16662
(814) 793-3290
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
TP001935G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50071427
CAPITAL BLUE CROSS
PA
Enumeration date
05/18/2007
Last updated
12/13/2007
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