Individual
MRS. STACEY ANNE BARBABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 934-9497
Mailing address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 934-9497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840772
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00372759
RAILROAD MEDICARE
VA
Enumeration date
11/09/2006
Last updated
05/09/2008
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