Individual
STACI KOERBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 1, PHILADELPHIA, PA 19104-5161
(215) 615-5864
(215) 349-8432
Mailing address
3400 CIVIC CENTER BLVD FL 1, PHILADELPHIA, PA 19104-5161
(215) 615-5864
(215) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP020983
PA
Other
Enumeration date
11/25/2019
Last updated
10/20/2022
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