Hersh, Stacey T

Hersh, Stacey T is an individual health care provider with primary practice located at 10313 Georgia Ave Ste 202, Silver Spring MD 20902-5006. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Hersh, Stacey T can be contacted via phone (301) 681-9101.

Contact Information

Primary practice address
10313 Georgia Ave Ste 202 Silver Spring MD 20902-5006
Phone: (301) 681-9101
Fax: (301) 681-3525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X AC000776 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AC000776 Maryland

Profile Details

NPI number 1619958683
LBN Legal business name Hersh, Stacey T
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Oct 17th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619958683 NPPES
Maryland MEDICAID 044363800

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