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Individual

STACEY T HERSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
10313 GEORGIA AVE, STE 202, SILVER SPRING, MD 20902-5006
(301) 681-9101
(301) 681-3525
Mailing address
3213 JOHN MARSHALL DR, ARLINGTON, VA 22207-1370
(703) 534-7262

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AC000776
MD
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AC000776
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044363800
MD
Enumeration date
11/08/2005
Last updated
10/17/2023
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