Individual
STEPHANIE DIANNA TYELL BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01471900
NJ
363LA2100X
Acute Care Nurse Practitioner
SP026749
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP026749
—
PA
Enumeration date
12/28/2022
Last updated
04/09/2026
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