Individual
CHEYENNE STACY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9050 IRON HORSE LN, APT 138, PIKESVILLE, MD 21208-2154
(410) 598-9638
Mailing address
36 PELLINORE CT, PIKESVILLE, MD 21208-1096
(410) 598-9638
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R158738
MD
Other
Enumeration date
04/18/2016
Last updated
12/27/2017
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