| Stanley Prochaska Jr, | |
|
1 Avenue D, Perryville, MD 21902 | |
| (410) 642-2411 | |
| Not Available |
| Full Name | Stanley Prochaska Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Avenue D, Perryville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528435732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R097544 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Prochaska Jr, 128 N Lynbrook Rd, Bel Air, MD 21014-5418 Ph: () - | Stanley Prochaska Jr, 1 Avenue D, Perryville, MD 21902 Ph: (410) 642-2411 |
Janette Kroenke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4853 Pulaski Hwy Ste 300, Perryville, MD 21903 Phone: 410-642-2289 | |
Amy Bauguess Mcmillan, CRNP-FAMILY Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4853 Pulaski Hwy Ste 300, Perryville, MD 21903 Phone: 410-642-2289 |