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

Individual provider Acute Care Nurse Practitioner · NPI 1962014654

Stacey Pham, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2020
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

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 316-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP021571 (PA)

Record details

NPI number1962014654
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 23, 2020
Last updated in NPPESAugust 23, 2020
Certification dateAugust 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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