Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | UP001017G | PA |
NPI | 1043514268 |
---|---|
Provider Name | Pattilee Bruning Stefl |
First Address | Chester, PA 19013-3902 |
Second Address | Chester, PA 19013-3902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2011 |
Last Update Date | 03/01/2011 |