Individual
LOUISE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-BC, NP-C
Contact information
Practice address
1400 SULPHUR SPRING RD, BALTIMORE, MD 21227-2701
(410) 737-9221
Mailing address
3 MILLPAINT LANE APT 3A, OWINGS MILLS, MD 21117
(412) 425-7074
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R180395
MD
363LF0000X
Family Nurse Practitioner
Primary
R180395
MD
Other
Enumeration date
11/23/2015
Last updated
02/09/2016
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