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NPI Code Detail

MEDICARE: STEPHANIE MARIE MCDONALD

MEDICARE:   STEPHANIE MARIE MCDONALD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1902607914
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MARIE MCDONALD
Provider Business Mailing Address
First Line : 2523 DELANEY AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6003
Country : US
Telephone Number : 910-343-1122
Fax Number :
Provider Business Practice Location Address
First Line : 2523 DELANEY AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6003
Country : US
Telephone Number : 910-343-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 06/15/2026

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Directions to “ STEPHANIE MARIE MCDONALD ” Practice Location

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