Individual
MRS. STEPHANIE ANN TANONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2 SHARPE ST, KINGSTON, PA 18704-3714
(570) 491-0126
Mailing address
2 SHARPE ST, KINGSTON, PA 18704-3714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN574796
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP025909
PA
Other
Enumeration date
07/07/2022
Last updated
07/12/2022
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