Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN303273L | PA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | TP006935B | PA |
NPI | 1174514152 |
---|---|
Provider Name | Mrs. Stephanie Cristoaica |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Lancaster, PA 17601-6310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 27/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P71925 | (02) |