DENISE L STASUK


Address: 3400 Spruce Street, Ground Ravdin, Philadelphia, PA 19104
Phone: 2156627248

DENISE L STASUK (NPI# 1629304449) 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) 1629304449
Entity Type Individual
Full Name DENISE L STASUK
Credential CRNP
Practice Address 3400 Spruce Street
Ground Ravdin
Philadelphia
PA 19104
Practice Telephone 2156627248
Mailing Telephone 2156627248
Enumeration Date 2009-10-29
Last Update Date 2015-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP010392 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3400 SPRUCE STREET
GROUND RAVDIN
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184620296 Anne M Foley Nurse Practitioner 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-4206 2005-06-23
1063023349 Judith Christina Rivera Nurse Practitioner 3400 Spruce Street, Cicu F11, Philadelphia, PA 19104-4238 2020-08-11
1457970451 Tyler J York Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 4 Maloney - Surgery Education Office, Philadelphia, PA 19104 2020-04-10
1811532088 Madeleine Liu Rutledge Nurse Practitioner 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104 2019-11-12
1497397160 Brittany Nichol Moses Physician Assistant 3400 Spruce Street, Rhoads 5, Philadelphia, PA 19104 2019-10-14
1477106011 Courtney Condit Genetic Counselor, MS 3400 Spruce Street, 5 Silverstein, Suite 5100, Philadelphia, PA 19104 2019-07-23
1275096745 Dallas Argueso Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-04-10
1720548837 Alisha Jamil Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-24
1023578507 Erin Killingsworth Mcminn Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 1 West Gates, Philadelphia, PA 19104 2019-03-21
1932669694 Rosa Speranza Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 1 W. Gates, Philadelphia, PA 19104 2019-03-20
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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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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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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