Stephanie Shull Diclemente, PA
Stephanie Shull Diclemente, PA is a Physician Assistant in Broomall, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 17
- Licensed in
- PA
- In the registry since
- 2010
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1999 Sproul Rd Ste 25Broomall, PA 19008-3508
Phone: (610) 353-6400
Fax: (610) 356-1204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence MA054104 (PA) |
|---|
Record details
| NPI number | 1821311440 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | March 10, 2010 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | February 9, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Main Line Healthcare — 1153 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Broomall
-
Laura Winsor Brooks, PA
1999 Sproul Rd Ste 25, Broomall, PA 19008-3508 · (610) 353-6400
-
Carolyn Evancho
1991 Sproul Rd Ste 230, Broomall, PA 19008-3512 · (610) 449-1525
-
Sherry Ly, PAC
1999 Sproul Rd, Broomall, PA 19008-3508 · (610) 353-6400
-
Samantha Pennepacker, PA-C
2004 Sproul Rd, Broomall, PA 19008-3511 · (610) 359-1580
-
MS. Carolyn Marie Witzke, PA-C
1999 Sproul Rd Ste 25, Broomall, PA 19008-3508 · (610) 353-6400