Pennsylvania
Department of State
THERESA BAUTISTA STALL
Certified Registered Nurse Practitioner
License number
SP013832
Date granted
04/25/2014
Date expires
04/30/2017
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Mars PA 16046
palicensing.org
ID 19175463
LAST UPDATED 2026-06-20 16:15:11 UTC
LAST UPDATED 2026-06-20 16:15:11 UTC
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