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PHYLLIS C STACKHOUSE CRNP
CRNP
Nurse Practitioner
NPI: 1215056718Individual
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
RN-204012-L(PA)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
SP-001330-D(PA)
Contact & Hours
- Address
- 476 ROLLING RIDGE DR
STATE COLLEGE, PA 16801 - Phone
- (814) 689-4980
Quick Facts
- NPI
- 1215056718
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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