NPI 1043689334

Stefanie R Coles, PAC

Practitioner Physician Assistant Glen Burnie, MD

Practice location

Address: 7116 Ritchie Hwy, Glen Burnie, MD 21061-2904
Phone: (443) 577-0277
Mailing address: 913 Southerly Road #264, Towson, MD 21204-2629

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence C05905 (MD)

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Registry record

NPI: 1043689334
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2015
Record last updated: 5 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.