Stacy Durfee
Individual provider Active NPI Contractor · Virginia Beach, VA
NPI 1154735868 · NPPES record last updated Jun 20, 2014
Key facts
- NPI
- 1154735868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 117 S First Colonial Rd
Virginia Beach, VA 23454-4656 - Phone
- (757) 422-0409
- Fax
- (757) 422-2124
- NPI assigned
- Jun 20, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
117 S First Colonial Rd
Virginia Beach, VA 23454-4656
Mailing address
PO Box 8786
Virginia Beach, VA 23450-8786
Phone (757) 422-0409
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465276261 | Other | VA | FEIN |
Other providers in Virginia Beach, VA
- Chiquita Leshawn Dupree-Wright
- Stephanie Duprey
- Renee Beatrice Dupuis
- Gail Durant
- Julie Irene Durdle
- Thomas Durick
- Donald Patrick Durkee
- Eileen Durkin
- Kelly Durkin
- Dalo Duro
All providers in Virginia Beach, VA · Contractor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.