Provider Demographics
NPI:1245657774
Name:EHLAND, STEPHANIE LEIGH (CNM, WHNP)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:LEIGH
Last Name:EHLAND
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:575 COAL VALLEY RD STE 209
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3724
Mailing Address - Country:US
Mailing Address - Phone:412-267-6600
Mailing Address - Fax:412-267-6281
Practice Address - Street 1:575 COAL VALLEY RD STE 209
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3724
Practice Address - Country:US
Practice Address - Phone:412-267-6600
Practice Address - Fax:412-267-6281
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010339367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife