Provider Demographics
NPI:1104811371
Name:STENBERG, KARRI ANNE (RN)
Entity type:Individual
Prefix:MS
First Name:KARRI
Middle Name:ANNE
Last Name:STENBERG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20405 HANCOCK BRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5814
Mailing Address - Country:US
Mailing Address - Phone:240-388-6658
Mailing Address - Fax:240-477-6699
Practice Address - Street 1:20405 HANCOCK BRIDGE PL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-5814
Practice Address - Country:US
Practice Address - Phone:240-388-6658
Practice Address - Fax:240-477-6699
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR151303163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse