Individual
MRS. STELLA IKPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3902 ANNAPOLIS RD, BALTIMORE, MD 21227-2249
(410) 887-4779
Mailing address
6313 ENCHANTED KEY GATE, CLARKSVILLE, MD 21029-1280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R175027
MD
363LF0000X
Family Nurse Practitioner
Primary
R175027
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528573144
—
MD
Enumeration date
12/05/2017
Last updated
03/17/2018
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