| Stonecrop Health | |
|
1900 Reston Metro Plz Ste 600 Reston VA 20190-5952 | |
| (571) 992-1600 | |
| Not Available |
| Full Name | Stonecrop Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 Reston Metro Plz Ste 600, Reston, Virginia |
| Authorized Official Name and Position | Stephanie M Valeri (OWNER) |
| Authorized Official Contact | 7035545832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonecrop Health 1900 Reston Metro Plz Ste 600 Reston VA 20190-5952 Ph: () - | Stonecrop Health 1900 Reston Metro Plz Ste 600 Reston VA 20190-5952 Ph: (571) 992-1600 |
| NPI Number | 1962117119 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 4789024696 |
|---|---|
| Medicare Enrollment ID | O20240425002001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962117119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stephanie Marie Valeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720574718 PECOS PAC ID: 8123358124 Enrollment ID: I20210624002903 |
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