Individual provider · Type 1 NPI

Stacia D. Petrancosta, PA-C

Medical Physician Assistant · Falls Church, VA

NPI number 1063735959 Active

Practice location

500 W Annandale Rd
Falls Church, VA 22046

Mailing address

9555 Pine Cluster Cir
Vienna, VA 22181-5440

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1063735959

Stacia D. Petrancosta, PA-C's National Provider Identifier is 1063735959, issued on Mar 5, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Falls Church, VA. The record was last updated on Aug 22, 2018.