Individual provider · Type 1 NPI
Stefon Deallie, AGACNP-BC, ACNP, RN
Acute Care Nurse Practitioner · New York, NY
NPI number
1477076396
Active
Practice location
156 William St
New York, NY 10038-2609
Mailing address
26 Rose Ln
Old Bridge, NJ 08857-3210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 721961-1 (NY) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 431239 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1477076396
Stefon Deallie, AGACNP-BC, ACNP, RN's National Provider Identifier is 1477076396, issued on Jul 23, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Jul 11, 2023.