Provider Demographics
NPI:1376888172
Name:STEVENS, MONIQUE CHINITA (CNM, APRN)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:CHINITA
Last Name:STEVENS
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:CHINITA
Other - Last Name:MCAFEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3001 HOSPITAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785
Mailing Address - Country:US
Mailing Address - Phone:301-618-2000
Mailing Address - Fax:813-349-7861
Practice Address - Street 1:3001 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785
Practice Address - Country:US
Practice Address - Phone:301-618-2000
Practice Address - Fax:813-349-7861
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9279981163W00000X
MDCNM1215176B00000X
MDAC002746363LX0001X
FLARNP9279981367A00000X
FLCNM1215367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No176B00000XOther Service ProvidersMidwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD007723400Medicaid