Individual
ELIZABETH S. STETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
825 FAIRFAX AVE, SUITE 310, NORFOLK, VA 23507-1914
(757) 446-7900
(757) 446-7464
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-7900
(757) 446-7464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-010
TRICARE/CHAMPUS
VA
01
—
10078674P
OPTIMA HEALTH
VA
05
—
1346532074
—
VA
05
—
8101073
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
05/13/2011
Last updated
02/24/2012
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