Individual
STACEY BENNETT-FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2106 HARRISBURG PIKE STE 200, LANCASTER, PA 17601-2644
(717) 393-1771
Mailing address
2500 BERNVILLE RD, READING, PA 19605-9453
(610) 378-2000
(610) 378-2799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019041
PA
Other
Enumeration date
09/13/2018
Last updated
09/21/2023
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