Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | R201878 | MD |
N | 363LA2200X | Nurse Practitioner - Adult Health | R201878 | MD |
NPI | 1013457050 |
---|---|
Provider Name | Ms. Stephanie Zwonitzer |
First Address | Annapolis, MD 21401-3773 |
Second Address | Annapolis, MD 21401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2017 |
Last Update Date | 21/09/2021 |