Healthcare Provider Details

I. General information

NPI: 1770828279
Provider Name (Legal Business Name): STEPHANIE ANN AROTIN C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2012
Last Update Date: 06/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 BIGLER AVE.
NORTHERN CAMBRIA PA
15714-0776
US

IV. Provider business mailing address

640 KOLTER DR
INDIANA PA
15701-3570
US

V. Phone/Fax

Practice location:
  • Phone: 814-948-4560
  • Fax: 814-948-8436
Mailing address:
  • Phone: 724-357-7333
  • Fax: 724-357-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012599
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: