Provider Demographics
NPI:1164494654
Name:STABILITO, MERIDETH MICHELLE (CRNP, WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MERIDETH
Middle Name:MICHELLE
Last Name:STABILITO
Suffix:
Gender:F
Credentials:CRNP, WHNP-BC
Other - Prefix:
Other - First Name:MERIDETH
Other - Middle Name:MICHELLE
Other - Last Name:SCHUPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:719 HILL RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-1516
Mailing Address - Country:US
Mailing Address - Phone:212-617-7573
Mailing Address - Fax:205-348-4419
Practice Address - Street 1:610 LOUIS DR
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2828
Practice Address - Country:US
Practice Address - Phone:159-577-9802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024999363LW0102X
PARN688243163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse