Provider Demographics
NPI:1811464100
Name:FERRARO, STEFANIE SPENCER (APRN)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:SPENCER
Last Name:FERRARO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-3349
Mailing Address - Country:US
Mailing Address - Phone:302-750-0233
Mailing Address - Fax:
Practice Address - Street 1:1423 CAPITAL TRAIL
Practice Address - Street 2:BUILDING 1 THIRD FLOOR
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711
Practice Address - Country:US
Practice Address - Phone:302-750-0233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0000165363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health