Individual
STEPHANIE CHARBONNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(484) 227-2580
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP030970
PA
363LP2300X
Primary Care Nurse Practitioner
SP030970
PA
Other
Enumeration date
10/12/2024
Last updated
05/31/2025
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