Provider Demographics
NPI:1902282213
Name:STEGEMAN, CHRISTIE LYN (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTIE
Middle Name:LYN
Last Name:STEGEMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 FOREST DR STE A
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4580
Mailing Address - Country:US
Mailing Address - Phone:410-216-9180
Mailing Address - Fax:
Practice Address - Street 1:1833 FOREST DR STE A
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4580
Practice Address - Country:US
Practice Address - Phone:410-216-9180
Practice Address - Fax:410-216-9669
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR206993363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily