Stacey Marie Stump is a Pediatrics in Lusby, Maryland. Stacey Marie Stump practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacey Marie Stump is 1730155649. The last update date is 2007-07-08.
Stacey Marie Stump's current location address is 11785 Big Bear Ln, Lusby, Maryland. You can contact this provider via phone number 4103265112. The mailing address for Stacey Marie Stump is 11785 Big Bear Ln, Lusby, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Marie Stump |
|---|---|
| Address | 11785 Big Bear Ln, Lusby, Maryland |
| Phone Number | 4103265112 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1730155649 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11785 Big Bear Ln |
|---|---|
| City | Lusby |
| State | Maryland (MD) |
| Post Code | 206572584 |
| Phone Number | 4103265112 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R149810 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stacey Marie Stump by the Centers for Medicare & Medicaid Services?
The Stacey Marie Stump has been issued the NPI (National Provider Identifier) 1730155649, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stacey Marie Stump?
The Stacey Marie Stump is situated at 11785 Big Bear Ln, in the city of Lusby, state of MD, with the zip code 206572584.
What is Stacey Marie Stump's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacey Marie Stump's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date did the Stacey Marie Stump receive its 1730155649 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Marie Stump was assigned its 1730155649 by the Centers for Medicare & Medicaid Services on 2006-02-28.
When was the information related to Stacey Marie Stump most recently updated or refreshed?
The details pertaining to the Stacey Marie Stump, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.