Individual provider · Type 1 NPI

Stefanie Cavallo, CRNP

Gerontology Nurse Practitioner · Philadelphia, PA

NPI number 1366204570 Active

Practice location

1650 Market St Ste 3600
Philadelphia, PA 19103-7334

Fax (629) 240-6003

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Other practice locations

  • 120 Middle St, Hastings, PA 16646-5819 · (814) 660-1256

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XSP029133 (PA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1366204570

Stefanie Cavallo, CRNP's National Provider Identifier is 1366204570, issued on Jan 24, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 26, 2026.