Individual
ELISE MARIE STAVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, FNP-C
Contact information
Practice address
959 WYOMING AVE, SCRANTON, PA 18509-3023
(570) 344-9684
(570) 504-0612
Mailing address
959 WYOMING AVE, SCRANTON, PA 18509-3023
(570) 954-6968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024223
PA
Other
Enumeration date
08/18/2021
Last updated
05/05/2025
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