Basic Information
Provider Information
NPI: 1619511326
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINBACHER
FirstName: COURTNEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MSN, CRNP, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1900 HUNTFIELD CT
Address2:  
City: FALLSTON
State: MD
PostalCode: 210471006
CountryCode: US
TelephoneNumber: 4108128780
FaxNumber:  
Practice Location
Address1: 345 SAINT PAUL ST
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212022123
CountryCode: US
TelephoneNumber: 4103329000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/05/2019
LastUpdateDate: 03/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XR196611MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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