Individual
MARYBETH TRUTKO STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
18928 LIBERTY MILL RD, GERMANTOWN, MD 20874-1414
(240) 644-4146
Mailing address
18928 LIBERTY MILL RD, GERMANTOWN, MD 20874-1414
(240) 644-4146
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R112716
MD
Other
Enumeration date
10/26/2019
Last updated
01/08/2020
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