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1740956044
ELISE MARIE STAVISH
SCRANTON, PA
NPI
1740956044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP024223)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
ELISE MARIE STAVISH DNP, CRNP, FNP-C
959 WYOMING AVE
SCRANTON, PA 18509-3023
Phone number: 570-344-9684
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Mailing Address
ELISE MARIE STAVISH DNP, CRNP, FNP-C
45 GREGORY ST
WEST WYOMING, PA 18644-1526
Phone number: 570-954-6968
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