Provider Demographics
NPI:1326894197
Name:FALKNER, STELLA (CPD, LE, CPS)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:FALKNER
Suffix:
Gender:F
Credentials:CPD, LE, CPS
Other - Prefix:
Other - First Name:STELLA
Other - Middle Name:
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1207 DELAWARE AVE # 3692
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4743
Mailing Address - Country:US
Mailing Address - Phone:862-234-0412
Mailing Address - Fax:
Practice Address - Street 1:440 KENT AVE APT 17E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-5932
Practice Address - Country:US
Practice Address - Phone:516-776-8432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No175T00000XOther Service ProvidersPeer Specialist