Denise L Stasuk CRNP

NPI 1629304449 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1629304449
Gender Female
Enumeration Date 10/29/2009
Last Updated 06/25/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
3400 SPRUCE STREET
GROUND RAVDIN
PHILADELPHIA PA, 19104, US
Phone (215) 662-7248
Fax
Business Location
3400 SPRUCE STREET
GROUND RAVDIN
PHILADELPHIA PA, 19104, US
Phone (215) 662-7248
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Pennsylvania
License Number SP010392
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According to our database, Denise L Stasuk CRNP NPI is 1629304449, taxonomy code is 363LF0000X and license number is SP010392, license state is located at Pennsylvania. Denise L Stasuk CRNP physically located at 3400 Spruce Street, Philadelphia PA, 19104. NPI Number Denise L Stasuk CRNP has the Individual type.

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1629304449 NPI number is provided on an as is basis without warranty of any kind. 1629304449 is maintained by the National Plan & Provider Enumeration System. The contents of Denise L Stasuk CRNP are for informational purposes only.