Individual
STEPHANIE NEVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 GRESHAM DR, RIVER PAVILION SUITE 203, NORFOLK, VA 23507-1904
(757) 388-3059
Mailing address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3059
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110004249
VA
Other
Enumeration date
06/06/2013
Last updated
10/19/2013
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