Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Louise Wallace

Individual provider Certified Registered Nurse Anesthetist · NPI 1518299197

Stephanie Louise Wallace is a Certified Registered Nurse Anesthetist (CRNA) in Towson, Maryland. Qualified in 2009, 17 years ago. Practices with Gbmc Hospital Based Services LLC, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
17
Licensed in
MD
In the registry since
2010
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Practice location Address checks out

6701 N Charles St Ste 4226
Towson, MD 21204-6808
Phone: (410) 296-4616
Fax: (410) 337-5068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 341 N. Calvert Street, Baltimore, MD 21202-2102 — (410) 332-9375

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R160036 (MD)

Record details

NPI number1518299197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2010
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Gbmc Hospital Based Services Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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