Most Relevant Information
Provider Data
| NPI Number: | 1003540287 |
| Provider Name: | STEPHANIE WALSH ROUMIANTSEVA CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | SP025920 |
Most Important Dates
| Enumeration Date: | 07/13/2022 |
| Last Updated: | 07/11/2023 |
Provider Practice Location
132 MANLY RD
TAFTON
PA
184647829
Practice Location Phone/Fax
| Phone: | 5702262151 |
| Fax: | 5702261861 |
Provider Mailing Location
601 PARK ST # 1445
HONESDALE
PA
184311445
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR