Individual
ELLA MARIA STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755
(301) 677-8800
Mailing address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755
(301) 677-8800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AC002124
MD
390200000X
Student in an Organized Health Care Education/Training Program
177844
NC
Other
Enumeration date
09/25/2014
Last updated
12/05/2017
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