Whalio Doctors

NPI 1093978579

Stephanie Lynn Pavese, MSOTRL

Practitioner Community Health Worker Landing, NJ

Practice location

Address
143 Landing Rd, Landing, NJ 07850-1507
Phone
(973) 770-7077
Mailing address
12 Broad Ave, Stanhope, NJ 07874-3412

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 46TR00276100 (NJ)

Registry record

NPI
1093978579
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Jul 2008
Record last updated
6 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.