Provider Demographics
NPI:1003811670
Name:STAHLHUT, CAROLYN (MSN, CRNP, CUNP)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:STAHLHUT
Suffix:
Gender:F
Credentials:MSN, CRNP, CUNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MEDICAL CAMPUS DRIVE
Mailing Address - Street 2:MEDICAL ARTS BUILDING SUITE 305
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-7205
Mailing Address - Country:US
Mailing Address - Phone:215-361-2304
Mailing Address - Fax:215-361-2389
Practice Address - Street 1:125 MEDICAL CAMPUS DRIVE
Practice Address - Street 2:MEDICAL ARTS BUILDING SUITE 305
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-7205
Practice Address - Country:US
Practice Address - Phone:215-361-2304
Practice Address - Fax:215-361-2389
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007385363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health