Doctor Name: | STEPHANIE ANNE CYRAN |
NPI Number: | 1336513456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R199142 |
Business Practice Address: | 30420 Revells Neck Rd Westover, MD - 218903368 |
Business Phone Number: | 4108454000 |
Business Fax Number: | |
Mailing Address: | 30420 Revells Neck Rd, WESTOVER |
State: | MD |
Postal Code: | 218903368 |
Phone Number: | 4108454000 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2015 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R199142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |