Individual
MRS. ANN S STILWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7141 SECURITY BLVD, KAISER PERMANENTE PEEC DEPT, BALTIMORE, MD 21244-1811
(443) 663-6406
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
(443) 663-6475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R107654
MD
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R105674
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409276700
—
MD
01
—
KJ43/64755701
CAREFIRST MARYLAND
MD
01
—
S1400026
CAREFIRST REGIONAL
MD
Enumeration date
10/25/2006
Last updated
06/03/2021
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