MS. STEPHANIE SOUTHARD CRNP NPI 1174665889

NPI Information

NPI: 1174665889
Provider Name: MS. STEPHANIE SOUTHARD, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2415 MUSGROVE RD
#105
SILVER SPRING, MD
ZIP 20904
Phone: (301) 989-3464
Get Directions

MS. Stephanie Southard, CRNP is a family nurse practitioner in Silver Spring, MD. MS. Stephanie Southard, CRNP NPI is 1174665889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2415 MUSGROVE RD
#105
SILVER SPRING, MD
ZIP 20904-200
Phone: (301) 989-3464
Fax: (301) 879-2325

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R123661	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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