STACEY PHAM


Address: 3400 Spruce St, Philadelphia, PA 19104-4238
Phone: 2153165151

STACEY PHAM (NPI# 1962014654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962014654
Entity Type Individual
Full Name STACEY PHAM
Credential CRNP
Practice Address 3400 Spruce St
Philadelphia
PA 19104-4238
Mailing Address 603 N American St Apt 204
Philadelphia
PA 19123-2961
Practice Telephone 2153165151
Enumeration Date 2020-08-23
Last Update Date 2020-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
SP021571 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3400 SPRUCE ST
City PHILADELPHIA
State PA
Zip Code 19104-4238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415966 Samuel Isaiah Parry Obstetrics & Gynecology 3400 Spruce St, Philadelphia, PA 19104-4238 2005-05-24
1831790609 Renate Marie Balitzky Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-11-06
1053911156 Jordan Charles Templeton Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4274 2020-10-28
1992305304 Alyssa N Volpe Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1700486115 Christina Haddow Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1629677497 Marissa Leigh Berlant Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-22
1811595523 Kristen Gilgen Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-14
1265040109 Abdullah T Almuqate Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-07-16
1952928541 Stefen Andrianus Student in an Organized Health Care Education/Training Program 3400 Spruce St, Philadelphia, PA 19104-4238 2020-06-29
1417574260 Dena Marie Deluca Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-06-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801496575 Albert Abbo Nurse Practitioner 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 2020-10-30
1902411721 Sean Arthur Deiter Nurse Practitioner 3619 Gypsy Ln, Philadelphia, PA 19129-1612 2020-09-09
1972117687 Christopher Brian Cox Nurse Practitioner 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 2020-09-01
1053949081 Anna Sorci Nurse Practitioner 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 2020-03-27
1629611488 Shane M Hafer Nurse Practitioner 3600 Civic Center Blvd Fl 3, Philadelphia, PA 19104-4310 2019-10-24
1184272262 Judy Linh Nurse Practitioner 901 Glenview St, Philadelphia, PA 19111-4420 2019-08-31
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1942777909 Jessica Lynn Goins Nurse Practitioner 111 S 11th St Bldg 934, Philadelphia, PA 19107-4824 2018-10-29
1891201968 Stefanie Rashti Nurse Practitioner 1015 Walnut St Ste 401, Philadelphia, PA 19107-5005 2017-12-27
1780074336 Bridget Gibson Nurse Practitioner 1522 E Susquehanna Ave, Philadelphia, PA 19125-2921 2015-02-03
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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