Individual
STEPHANIE LYNN MCVICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-1200
Mailing address
145 CHARLES ST, SCHELLSBURG, PA 15559-8310
(814) 494-1905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209075
MD
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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