Phyllis Stackhouse CRNP

NPI 1215056718 - Registered Nurse - 163W00000X

NPI Details
NPI 1215056718
Gender Female
Enumeration Date 03/28/2007
Last Updated 07/15/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
318 STUDENT HEALTH CENTER
UNIVERSITY PARK PA, 16802, US
Phone (814) 863-8724
Fax (814) 863-8464
Business Location
318 STUDENT HEALTH CENTER
UNIVERSITY PARK PA, 16802, US
Phone (814) 863-8724
Fax (814) 863-8464
Toxanomy
Taxonomy Code 163W00000X
License State Pennsylvania
License Number RN-204012-L
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According to our database, Phyllis Stackhouse CRNP NPI is 1215056718, taxonomy code is 163W00000X and license number is RN-204012-L, license state is located at Pennsylvania. Phyllis Stackhouse CRNP physically located at 318 Student Health Center, University Park PA, 16802. NPI Number Phyllis Stackhouse CRNP has the Individual type.

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1215056718 NPI number is provided on an as is basis without warranty of any kind. 1215056718 is maintained by the National Plan & Provider Enumeration System. The contents of Phyllis Stackhouse CRNP are for informational purposes only.