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Individual

AMANDA MARIE STAPLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
5825 PLANK RD, FREDERICKSBURG, VA 22407-5207
(804) 410-4204
(855) 888-8443
Mailing address
1101A HEATHERSTONE DR, FREDERICKSBURG, VA 22407-4828
(703) 447-3021

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024179495
VA
363LF0000X
Family Nurse Practitioner
Primary
0024179495
VA

Other

Enumeration date
07/31/2020
Last updated
05/19/2023
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