Stephanie S Stephens, RN, MSN, WHNP | |
2020 S Independence Blvd Ste 5, Virginia Beach, VA 23453-4776 | |
(757) 471-6903 | |
Not Available |
Full Name | Stephanie S Stephens |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 2020 S Independence Blvd Ste 5, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821266487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 0024165372 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
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Stephanie S Stephens, RN, MSN, WHNP 2020 S Independence Blvd Ste 5, Virginia Beach, VA 23453-4776 Ph: (757) 471-6903 | Stephanie S Stephens, RN, MSN, WHNP 2020 S Independence Blvd Ste 5, Virginia Beach, VA 23453-4776 Ph: (757) 471-6903 |
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