Individual provider · Type 1 NPI

Stephanie Tanwangco, FNP

Family Nurse Practitioner · Granite City, IL

NPI number 1548985203 Active

Practice location

50 Northgate Industrial Dr
Granite City, IL 62040-6805

Mailing address

448 Wylie Dr
Normal, IL 61761-5405

Other practice locations

  • 13448 Cicero Ave, Crestwood, IL 60418-1430 · (708) 682-3384

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.026111 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1548985203

Stephanie Tanwangco, FNP's National Provider Identifier is 1548985203, issued on Oct 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Granite City, IL. The record was last updated on Dec 13, 2022.