Individual
STACY REEVES HOENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(410) 542-8130
Mailing address
13835 KENNARD DR, GLENELG, MD 21737-9751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R201835
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R201835
MD
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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