Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP007385 | PA |
NPI | 1003811670 |
---|---|
Provider Name | Carolyn Stahlhut |
First Address | Lansdale, PA 19446-7205 |
Second Address | Lansdale, PA 19446-7205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 17/03/2018 |