MEDICARE: BRIANNA STENBAR MSN, CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	R228888	MD

General Provider Information

NPI Number	:	1215547948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA STENBAR MSN, CRNP

Provider Business Mailing Address
First Line	:	8110 MAPLE LAWN BLVD STE 235
Second Line	:
City	:	FULTON
State	:	MD
Zip	:	20759-2694
Country	:	US
Telephone Number	:	301-340-8339
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 GLEN AVE STE 104
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-5256
Country	:	US
Telephone Number	:	410-543-9111
Fax Number	:	410-543-9115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	12/01/2023

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