Individual provider · Type 1 NPI
Stacey Pham, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1962014654
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
603 N American St Apt 204
Philadelphia, PA 19123-2961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP021571 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1962014654
Stacey Pham, CRNP's National Provider Identifier is 1962014654, issued on Aug 23, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 23, 2020.