Individual
COURTNEY DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GREENTREE CENTER, SUITE 117, MARLTON, NJ 08053-3422
(856) 528-7082
Mailing address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(267) 887-0013
(215) 392-7992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01015900
NJ
Other
Enumeration date
03/03/2020
Last updated
08/11/2026
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