Individual
STEPHANIE M PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3300 GALLOWS ROAD, FALLS CHURCH, VA 22042
(703) 776-6020
Mailing address
2730-B PROSPERITY AVENUE, FAIRFAX, VA 22031
(703) 289-1400
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024168939
VA
Other
Enumeration date
09/23/2010
Last updated
10/28/2010
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