Individual
MS. BARBARA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
515 FAIRMOUNT AVE, STE 100A, TOWSON, MD 21286-5466
(410) 494-1315
(410) 584-2244
Mailing address
515 FAIRMOUNT AVE STE 100A, TOWSON, MD 21286-8520
(410) 494-1355
(410) 494-1361
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R059802
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403571200
—
MD
01
—
P00065152
RR MEDICARE
MD
Enumeration date
11/22/2005
Last updated
12/07/2020
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