Individual
STEPHANIE AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9000
Mailing address
1250 E MARSHALL ST # 980102, RICHMOND, VA 23298-5051
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175015
VA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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