Basic Information
Provider Information
NPI: 1518925023
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STELMASH
FirstName: ANNE
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12622
Address2:  
City: BELFAST
State: ME
PostalCode: 049154017
CountryCode: US
TelephoneNumber: 4434813201
FaxNumber: 4434816515
Practice Location
Address1: 2000 MEDICAL PKWY STE 510
Address2:  
City: ANNAPOLIS
State: MD
PostalCode: 214013747
CountryCode: US
TelephoneNumber: 4434814600
FaxNumber: 4434813900
Other Information
ProviderEnumerationDate: 05/03/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XR208881MDN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X0024173621VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home