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Individual

MS. STEPHANIE LYNN FELLENGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
200 CIVIC AVE, SALISBURY, MD 21804-4599
(410) 749-1466
Mailing address
200 CIVIC AVENUE, SALISBURY, MD 21804-2186

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R188822
MD
363LF0000X
Family Nurse Practitioner
Primary
R188822
MD

Other

Enumeration date
05/29/2012
Last updated
04/12/2013
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