| Doctor Name: | MRS. STEPHANIE RICHARDSON WILHELM |
| NPI Number: | 1013250034 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R178521 |
| Business Practice Address: | 9901 Medical Center Dr Rockville, MD - 208503357 |
| Business Phone Number: | 2408267550 |
| Business Fax Number: | |
| Mailing Address: | 12410 Milestone Center Dr Ste 225, GERMANTOWN |
| State: | MD |
| Postal Code: | 208767103 |
| Phone Number: | 3019440034 |
| Fax Number: | 3015409297 |
| NPI Enumeration Date: | 03/27/2013 |
| NPI Last Update Date: | 03/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R178521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |