Provider Demographics
NPI:1043828718
Name:A STEP TO WELLNESS
Entity Type:Organization
Organization Name:A STEP TO WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN, FNP, PMHNP
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MCDONNAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-354-6583
Mailing Address - Street 1:2618 SEQUOIA LN
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1376
Mailing Address - Country:US
Mailing Address - Phone:443-788-9476
Mailing Address - Fax:949-655-8724
Practice Address - Street 1:1110 BENFIELD BLVD STE H
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2644
Practice Address - Country:US
Practice Address - Phone:443-788-9476
Practice Address - Fax:949-655-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty