Individual
MS. DONNA CUNNINGHAM STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
490 CADMUS LN STE 104, EASTON, MD 21601-4091
(410) 820-0560
(410) 820-0564
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R081602
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015537
PRIORITY PARTNERS
MD
01
—
521116591
TRICARE
MD
01
—
6513545
CIGNA
MD
01
—
656205
COVENTRY
MD
01
—
737191
NCPPO
MD
01
—
75868003
CAREFIRST BC/BS RENDERING
MD
05
—
784381000
—
MD
01
—
T5880024
CF BC/BS GRP/GHMSI/BL CHO
MD
Enumeration date
02/21/2006
Last updated
03/05/2021
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