Mrs. Viviana Lorraine Di Stefano
Mrs. Viviana Lorraine Di Stefano is a Physician Assistant in East Earl, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, Ohio and Pennsylvania.
- Years since qualifying
- 6
- Licensed in
- ID, OH, PA
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
25 Dawkins DrEast Earl, PA 17519-9275
Phone: (612) 709-0608
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 999 N Curtis Rd Ste 415, Boise, ID 83706-1334 — (208) 302-2600
- 3533 Southern Blvd Ste 2100, Kettering, OH 45429-1267 — (937) 395-8556
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-2565 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X (PA) |
| Physician Assistant | Taxonomy 363A00000X · Licence 50.009335RX (OH) |
Record details
| NPI number | 1427651033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2020 |
| Last updated in NPPES | May 12, 2025 |
| Certification date | May 12, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Penn State Health Medical Group Llc — 711 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in East Earl
-
Mrs. Krystal Lynn Hallman, PA-C
258 Wildflower Dr, East Earl, PA 17519-9703 · (717) 413-8779