Individual
MEGAN STITELY-BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
56 THOMAS JOHNSON DR, FREDERICK, MD 21702-4599
(301) 694-3111
(301) 694-8626
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R211389
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580503
—
MA
05
—
926580505
—
MD
Enumeration date
08/02/2016
Last updated
08/02/2016
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