Stephanie Waldron, PA-C
Physician Assistant in Mount Holly, New Jersey
1912545294- Practice location
- 175 Madison Ave, Mount Holly, NJ 08060-2099
- Phone
- 609-914-6000
- Fax
- 609-914-6182
- Last updated
- October 20, 2020
Stephanie Waldron is a Physician Assistant based in Mount Holly, NJ. Stephanie Waldron practices in Mount Holly, NJ and has the professional credentials of PA-C. The NPI Number for Stephanie Waldron is 1912545294 and holds a License No. 25MP00555100 (NJ). The current practice location address for Stephanie Waldron is 175 Madison Ave, Mount Holly, NJ 08060-2099 and can be reached out via phone at 609-914-6000 and via fax at 609-914-6182.
Provider Profile Details
- NPI Number
- 1912545294
- Provider Name
- Stephanie Waldron
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 175 Madison Ave, Mount Holly, NJ 08060-2099
- Phone Number
- 609-914-6000
- Fax Number
- 609-914-6182
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 17, 2019
- Last Update Date
- October 20, 2020
- Certification Date
- October 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Madison Ave
Mount Holly, NJ 08060-2099 - City
- Mount Holly
- State
- New Jersey
- Zip
- 08060-2099
- Phone Number
- 609-914-6000
- Fax Number
- 609-914-6182
Provider Business Mailing Address Details
- Address
- 301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197 - City
- Marlton
- State
- NJ
- Zip
- 08053-4197
- Phone Number
- 856-355-0340
- Fax Number
- 856-355-0330
License Information
- License Number (1)
- 25MP00555100
- License State (1)
- NJ
- Taxonomy (1)
- Hospitalist · 208M00000X
- License Number (2)
- 25MP00555100
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stephanie Waldron, PA-C?
The NPI number of Stephanie Waldron, PA-C is 1912545294. It was assigned on December 17, 2019 and is currently active in the NPPES registry.
What is the specialty of Stephanie Waldron, PA-C?
Stephanie Waldron, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00555100.
Where does Stephanie Waldron, PA-C practice?
The practice location is 175 Madison Ave, Mount Holly, NJ 08060-2099. The office can be reached at 609-914-6000 (phone) or 609-914-6182 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912545294 directly on the NPPES registry website.