Healthcare Provider Details

I. General information

NPI: 1902419773
Provider Name (Legal Business Name): STEPHANIE ANNE DOWNS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE ANNE DILORETO

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 08/31/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7535 WINDSOR DR STE 100
ALLENTOWN PA
18195-1014
US

IV. Provider business mailing address

84 SHEWELL AVE APT 1
DOYLESTOWN PA
18901-3751
US

V. Phone/Fax

Practice location:
  • Phone: 610-336-8000
  • Fax:
Mailing address:
  • Phone: 610-442-6114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP021528
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP021528
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: