Healthcare Provider Details

I. General information

NPI: 1447627674
Provider Name (Legal Business Name): KATHERINE E STONESIFER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS KATHERINE BIXLER

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S GEORGE ST FL 2
YORK PA
17403-3676
US

IV. Provider business mailing address

1995 TECHNOLOGY PKWY
MECHANICSBURG PA
17050-8522
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-2465
  • Fax: 717-741-3043
Mailing address:
  • Phone: 717-231-8772
  • Fax: 717-231-8435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP015267
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP015267
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP015267
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: