Provider Demographics
NPI:1437395829
Name:STOW, JOANNE NICHOLAS (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:NICHOLAS
Last Name:STOW
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 COLONIAL CIRCLE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19373
Mailing Address - Country:US
Mailing Address - Phone:610-547-4516
Mailing Address - Fax:
Practice Address - Street 1:34TH ST. AND CIVIC CENTER BLVD.
Practice Address - Street 2:FIRST FLOOR THE CHILDREN'S HOSPITAL OF PHILADELPHIA PED
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:215-590-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010111363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics