Provider Demographics
NPI:1700534831
Name:STEPP, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:STEPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4855 S PALMER RD RM 7131
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5632
Mailing Address - Country:US
Mailing Address - Phone:301-319-2498
Mailing Address - Fax:301-400-2930
Practice Address - Street 1:4855 S PALMER RD RM 7131
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5632
Practice Address - Country:US
Practice Address - Phone:301-319-2498
Practice Address - Fax:301-400-2930
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0116037407208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program