Individual
STEPHANIE S MARANGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4092 FOXWOOD DR, SUITE 101, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
Mailing address
PO BOX 7549, PORTSMOUTH, VA 23707-0549
(757) 686-3508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001069819
VA
363L00000X
Nurse Practitioner
Primary
0024069819
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007786859
—
VA
01
—
500005939
RAILROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
04/09/2010
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