Healthcare Provider Details

I. General information

NPI: 1427356823
Provider Name (Legal Business Name): STEPHANIE L FARMER NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 E PULASKI HWY # C
ELKTON MD
21921-6747
US

IV. Provider business mailing address

349 E PULASKI HWY UNIT C
ELKTON MD
21921-6747
US

V. Phone/Fax

Practice location:
  • Phone: 443-341-0011
  • Fax: 410-941-3882
Mailing address:
  • Phone: 443-341-0011
  • Fax: 410-941-3882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9273508
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR121652
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLP0000292
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP014325
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: