Individual
COLLEEN ELIZABETH STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7394 HARBOUR TOWNE PKWY STE 5, SUFFOLK, VA 23435-3473
(757) 702-8116
Mailing address
136 MONITOR RD, PORTSMOUTH, VA 23707-1018
(423) 307-2988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005822
VA
Other
Enumeration date
06/29/2017
Last updated
01/06/2025
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