STACEY PHAM

PHILADELPHIA, PA
NPI1962014654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: PA  SP021571)
Enumeration Date2020-08-23
Last Update Date2020-08-23
Business Address
STACEY PHAM CRNP
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-316-5151
Mailing Address
STACEY PHAM CRNP
603 N AMERICAN ST APT 204
PHILADELPHIA, PA 19123-2961
Phone number: