Individual
STEPHEN NICEWARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
9093 RIDGEFIELD DR STE 104, FREDERICK, MD 21701-6711
(240) 956-5475
(240) 891-2600
Mailing address
9093 RIDGEFIELD DR STE 104, FREDERICK, MD 21701-6711
(240) 956-5475
(240) 891-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R228108
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R228108
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R228108
CRNP LICENSE
MD
Enumeration date
01/17/2023
Last updated
03/20/2026
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