Provider Demographics
NPI:1558782482
Name:STEGONSHEK, EMILY FRANCES (CRNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:FRANCES
Last Name:STEGONSHEK
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 1:34TH ST. AND CIVIC CENTER BLVD.
Mailing Address - Street 2:RICHARD D. WOOD CENTER, 2ND FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-590-1527
Mailing Address - Fax:
Practice Address - Street 1:34TH ST. AND CIVIC CENTER BLVD.
Practice Address - Street 2:RICHARD D. WOOD CENTER, 2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-1527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013066363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics