Provider Demographics
NPI:1114150695
Name:STAPELFELD, ANNIE MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:MARIE
Last Name:STAPELFELD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-2402
Mailing Address - Country:US
Mailing Address - Phone:814-944-8784
Mailing Address - Fax:814-944-8625
Practice Address - Street 1:1224 7TH AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-2402
Practice Address - Country:US
Practice Address - Phone:814-944-8784
Practice Address - Fax:814-944-8625
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053871363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical