Healthcare Provider Details

I. General information

NPI: 1104556893
Provider Name (Legal Business Name): STEPHANIE MORGENSTERN APRN, ACCNS-P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

1309 W 41ST ST
BALTIMORE MD
21211-1548
US

V. Phone/Fax

Practice location:
  • Phone: 339-235-0624
  • Fax:
Mailing address:
  • Phone: 339-235-0624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberCS00181
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: