Individual provider · Type 1 NPI
Stephen Michael Donnelly, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1144773383
Active
Practice location
333 Cottman Ave
Philadelphia, PA 19111-2434
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oncology Registered Nurse | 163WX0200X | RN602929 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP016592 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1144773383
Stephen Michael Donnelly, CRNP's National Provider Identifier is 1144773383, issued on Jul 24, 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 Nov 2, 2016.