Individual
STEPHANIE MILLER DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1210 FOREST OAK CT, BEL AIR, MD 21015-6170
(410) 688-7792
(410) 836-8064
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R159792
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R159792
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025855500
MEDICAL ASSISTANCE
MD
01
—
158523ZNS1
MEDICARE
MD
01
—
BY10-0001
CAREFIRST
DC
01
—
BY10-0001
CAREFIRST
MD
01
—
P01524968
RAILROAD MEDICARE
GA
Enumeration date
12/01/2008
Last updated
08/16/2023
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