STEFANIE MARIE PHILLIPS CRNP NPI 1710451059

NPI Information

  • NPI: 1710451059
  • Provider Name: STEFANIE MARIE PHILLIPS, CRNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 E LANCASTER AVE
    WYNNEWOOD, PA
    ZIP 19096
  • Phone: (484) 476-2900

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NPI Details

Stefanie Marie Phillips, CRNP is an acute care nurse practitioner in Wynnewood, PA. Stefanie Marie Phillips, CRNP NPI is 1710451059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 E LANCASTER AVE
WYNNEWOOD, PA
ZIP 19096-450
Phone: (484) 476-2900

The NPI 1710451059 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/21/2019 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerSP019823PENNSYLVANIANo
2363LA2100XNurse PractitionerAcute CareSP019823PENNSYLVANIANo
3363LG0600XNurse PractitionerGerontology26NJ01379300NEW JERSEYNo
4363LA2100XNurse PractitionerAcute Care26NJ01379300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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