NICOLE DESTEFANO

PHILADELPHIA, PA
NPI1982434908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: PA  SP030151)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: PA  SP030151)
Enumeration Date2024-08-05
Last Update Date2024-09-19
Business Address
NICOLE DESTEFANO CRNP
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-3309
Phone number: 484-653-8742
Mailing Address
NICOLE DESTEFANO CRNP
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4311
Phone number: 484-653-8742