MEDICARE: STEPHANIE BROOKE MYERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN662416	PA

General Provider Information

NPI Number	:	1154251486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE BROOKE MYERS

Provider Business Mailing Address
First Line	:	4300 LONDONDERRY RD STE 302
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5317
Country	:	US
Telephone Number	:	717-724-6780
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 LONDONDERRY RD STE 302
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5317
Country	:	US
Telephone Number	:	717-724-6780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ STEPHANIE BROOKE MYERS ” Practice Location

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