| Doctor Name: | MRS. STEFANIE LYNN DEFIGLIA |
| NPI Number: | 1083779920 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | LG0000577 |
| Business Practice Address: | 6095 Marshalee Dr Suite 100 Elkridge, MD - 210756053 |
| Business Phone Number: | 4103793532 |
| Business Fax Number: | |
| Mailing Address: | 6095 Marshalee Dr, Suite 100 ELKRIDGE |
| State: | MD |
| Postal Code: | 210756053 |
| Phone Number: | 4103793532 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 09/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | LG0000577 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |