Healthcare Provider Details

I. General information

NPI: 1376888172
Provider Name (Legal Business Name): MONIQUE CHINITA STEVENS CNM, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONIQUE CHINITA MCAFEE

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 HOSPITAL DRIVE
CHEVERLY MD
20785
US

IV. Provider business mailing address

3001 HOSPITAL DRIVE
CHEVERLY MD
20785
US

V. Phone/Fax

Practice location:
  • Phone: 301-618-2000
  • Fax: 813-349-7861
Mailing address:
  • Phone: 301-618-2000
  • Fax: 813-349-7861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAC002746
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP9279981
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM1215
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9279981
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCNM1215
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: