Individual provider · Type 1 NPI

Stefanie Matos Medina, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1104771682 Active

Practice location

2981 Grant Ave
Philadelphia, PA 19114-1024

Fax (215) 632-7865

Mailing address

2106 Longview Rd
Warrington, PA 18976-1525

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP035406 (PA)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1104771682

Stefanie Matos Medina, CRNP's National Provider Identifier is 1104771682, issued on Mar 2, 2026. 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 2, 2026.