Individual
STEPHANIE BLADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 MEDICAL PKWY, ANNAPOLIS, MD 21401-3742
(410) 571-9700
Mailing address
2309 MOUNT TABOR RD, GAMBRILLS, MD 21054-1839
(410) 458-4104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R220671
MD
Other
Enumeration date
01/22/2024
Last updated
06/27/2024
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