Individual
STACY M HOSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1221 LEE STREET, CHARLOTTESVILLE, VA 22908-3410
(434) 243-1000
(434) 244-7551
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R216733
MD
207R00000X
Internal Medicine Physician
0024187492
VA
207RC0000X
Cardiovascular Disease Physician
0024187492
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024187492
VA
363LA2100X
Acute Care Nurse Practitioner
R216733
MD
Other
Enumeration date
05/26/2022
Last updated
12/19/2023
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