Stephanie Imler, CRNP | |
621 Kelly Rd, Cumberland, MD 21502-2878 | |
(301) 722-3270 | |
Not Available |
Full Name | Stephanie Imler |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 621 Kelly Rd, Cumberland, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881338739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R181788 (Maryland) | Primary |
Entity Name | Tri-state Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366491201 PECOS PAC ID: 9335057355 Enrollment ID: O20040219000462 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Imler, CRNP 621 Kelly Rd, Cumberland, MD 21502-2878 Ph: (301) 722-3270 | Stephanie Imler, CRNP 621 Kelly Rd, Cumberland, MD 21502-2878 Ph: (301) 722-3270 |
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