Most Relevant Information
Provider Data
| NPI Number: | 1003447962 |
| Provider Name: | ALYSSA STIEFEL CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | SP021291 |
Most Important Dates
| Enumeration Date: | 01/30/2020 |
| Last Updated: | 01/30/2020 |
Provider Practice Location
3401 CIVIC CENTER BLVD
PHILADELPHIA
PA
191044319
Practice Location Phone/Fax
| Phone: | 2155901000 |
| Fax: |
Provider Mailing Location
1642 WAVERLY ST
PHILADELPHIA
PA
191461509
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |