Individual provider · Type 1 NPI

Stephanie Rae Gillis, MS, NP-C, CRNP

Family Nurse Practitioner · Ellicott City, MD

NPI number 1790069490 Active

Practice location

3300 Centennial Ln
Ellicott City, MD 21042-3600

Call (866) 389-2727 Map

Mailing address

3159 Pine Orchard Ln Apt 302
Ellicott City, MD 21042-4223

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR169531 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1790069490

Stephanie Rae Gillis, MS, NP-C, CRNP's National Provider Identifier is 1790069490, issued on Sep 29, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellicott City, MD. The record was last updated on Feb 1, 2022.