Individual
STEPHANIE E TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2296 OPITZ BLVD STE 440, WOODBRIDGE, VA 22191-3355
(703) 878-0740
(703) 656-4940
Mailing address
1721 GRANVILLE CT, WOODBRIDGE, VA 22191-4580
(614) 571-6181
(703) 656-4940
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
PENDING
VA
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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