Individual
MR. STEPHEN M PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
8001 FORBES PL, SUITE 200, SPRINGFIELD, VA 22151-2208
(703) 321-2600
(703) 321-2603
Mailing address
8001 FORBES PL, SUITE 200, SPRINGFIELD, VA 22151-2208
(703) 321-2600
(703) 321-2603
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0017139518
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP017462
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336115781
—
VA
05
—
1497993752
—
VA
05
—
1760571889
—
VA
Enumeration date
10/14/2009
Last updated
02/11/2026
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