Individual
STEPHANIE K MAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
445 CHARLES H DIMMOCK PKWY, SUITE 100, COLONIAL HEIGHTS, VA 23834-2970
(804) 520-1764
(866) 781-3220
Mailing address
445 CHARLES H DIMMOCK PKWY, SUITE 100, COLONIAL HEIGHTS, VA 23834-2970
(804) 520-1764
(866) 781-3220
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171922
VA
Other
Enumeration date
08/16/2014
Last updated
02/23/2016
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