Individual
MS. STACY STAVLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 350, FAIRFAX, VA 22031-4527
(571) 472-6720
(571) 432-2970
Mailing address
8260 WILLOW OAKS CORPORATE DR STE 350, FAIRFAX, VA 22031-4527
(571) 472-6720
(571) 432-2970
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024174134
VA
Other
Enumeration date
04/25/2017
Last updated
09/25/2024
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