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

Mrs. Stephanie Christine Mallgrave, CRNP

Individual provider Family Nurse Practitioner · NPI 1104280312

Mrs. Stephanie Christine Mallgrave, CRNP is a Family Nurse Practitioner in Philadelphia, Pennsylvania. Works from 3 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2016
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1500 Spruce St
Philadelphia, PA 19102-4502
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 360 Route 73 S, Marlton, NJ 08053-2004 — (856) 596-7010
  • 824 N Black Horse Pike, Runnemede, NJ 08078-1034 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP016144 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ00627600 (NJ)

Record details

NPI number1104280312
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

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