Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Edward Thomas Stish Jr.

Individual provider Family Nurse Practitioner · NPI 1841119047

Mr. Edward Thomas Stish Jr. is a Family Nurse Practitioner in Hazleton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

1711 E Broad St
Hazleton, PA 18201-5691
Phone: (570) 453-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP036414 (PA)

Record details

NPI number1841119047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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