STACEY T HERSH CRNP NPI 1619958683

NPI Information

NPI: 1619958683
Provider Name: STACEY T HERSH, CRNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
10313 GEORGIA AVE
STE 202
SILVER SPRING, MD
ZIP 20902
Phone: (301) 681-9101
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Stacey T Hersh, CRNP is an obstetrics and gynecology nurse practitioner in Silver Spring, MD. Stacey T Hersh, CRNP NPI is 1619958683. 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:

10313 GEORGIA AVE
STE 202
SILVER SPRING, MD
ZIP 20902-006
Phone: (301) 681-9101
Fax: (301) 681-3525

The NPI 1619958683 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 9/26/2018.

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	163W00000X	Registered Nurse		AC000776	MARYLAND	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	AC000776	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	044363800	MEDICAID	MARYLAND

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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