Individual provider · Type 1 NPI

Stephanie Christine Mallgrave, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1104280312 Active

Practice location

1500 Spruce St
Philadelphia, PA 19102-4502

Other practice locations

  • 824 N Black Horse Pike, Runnemede, NJ 08078-1034 · (866) 389-2727
  • 360 Route 73 S, Marlton, NJ 08053-2004 · (856) 596-7010

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X26NJ00627600 (NJ)
Family Nurse Practitioner Primary 363LF0000XSP016144 (PA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1104280312

Stephanie Christine Mallgrave, CRNP's National Provider Identifier is 1104280312, issued on Apr 13, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 31, 2022.