Miller, Stephanie Lourdes

Miller, Stephanie Lourdes is an individual health care provider with primary practice located at 12040 South Lakes Drive, Suite 207 Generations Family Practice, Reston VA 20191. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miller, Stephanie Lourdes can be contacted via phone (703) 464-0686.

Contact Information

Primary practice address
12040 South Lakes Drive, Suite 207 Generations Family Practice Reston VA 20191
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA23083 California

Profile Details

NPI number 1982036786
LBN Legal business name Miller, Stephanie Lourdes
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2013
Last updated Aug 1st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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