Individual
STEPHANIE MARKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 406-5877
Mailing address
3230 SCOTTS LN, PHILADELPHIA, PA 19129-1527
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP028629
PA
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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