Gillis, Stephanie Rae

Gillis, Stephanie Rae is an individual health care provider with primary practice located at 3300 Centennial Ln , Ellicott City MD 21042-3600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gillis, Stephanie Rae can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
3300 Centennial Ln Ellicott City MD 21042-3600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R169531 Maryland

Profile Details

NPI number 1790069490
LBN Legal business name Gillis, Stephanie Rae
Credentials MS, NP-C, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2011
Last updated Feb 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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