Individual
TAMARA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16681 PULLER HIGHWAY, DELTAVILLE, VA 23043
(804) 776-8000
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024166839
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679531768
—
VA
Enumeration date
05/01/2006
Last updated
11/06/2008
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