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Individual
STEPHANIE H GARRIS
Active
Individual
STEPHANIE H GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024173807
VA
363LF0000X
Family Nurse Practitioner
Primary
24855
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
08/30/2016
Last updated
08/13/2019
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