Most Relevant Information
Provider Data
| NPI Number: | 1003392564 |
| Provider Name: | STEPHANIE DESANTIS |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP019050 |
Most Important Dates
| Enumeration Date: | 07/17/2018 |
| Last Updated: | 06/15/2021 |
Provider Practice Location
5200 CENTRE AVE STE 610
SUITE 610
PITTSBURGH
PA
152321326
Practice Location Phone/Fax
| Phone: | 4126211200 |
| Fax: |
Provider Mailing Location
800 PINE TREE DR
SUITE 610
GIBSONIA
PA
150449209
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |