Provider Demographics
NPI:1588049969
Name:VANSTON, STEFANI LYN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:STEFANI
Middle Name:LYN
Last Name:VANSTON
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:1800 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2369
Practice Address - Country:US
Practice Address - Phone:570-703-7351
Practice Address - Fax:570-703-7801
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2020-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP015144363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily