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

Stefanie Matos Medina, CRNP

Individual provider Family Nurse Practitioner · NPI 1104771682

Stefanie Matos Medina, CRNP is a Family Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2981 Grant Ave
Philadelphia, PA 19114-1024
Phone: (215) 632-4550
Fax: (215) 632-7865
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 SP035406 (PA)

Record details

NPI number1104771682
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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