Burkholder, Stephanie

Burkholder, Stephanie is an individual health care provider with primary practice located at 2401 Park Dr Ste 101 , Harrisburg PA 17110-9303. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Burkholder, Stephanie can be contacted via phone (717) 686-9842.

Contact Information

Primary practice address
2401 Park Dr Ste 101 Harrisburg PA 17110-9303
Phone: (717) 686-9842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN561064 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP012554 Pennsylvania

Profile Details

NPI number 1700138765
LBN Legal business name Burkholder, Stephanie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2012
Last updated Oct 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700138765 NPPES
Pennsylvania MEDICAID 103012545

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