Individual
STEPHANIE NICOLE KRALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8315 LEE HWY STE 202, FAIRFAX, VA 22031-2215
(703) 352-1939
(703) 352-2294
Mailing address
25314 DILIGENCE CT, ALDIE, VA 20105-3407
(301) 643-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024180117
VA
363L00000X
Nurse Practitioner
AC003411
MD
Other
Enumeration date
02/19/2021
Last updated
06/01/2021
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