Individual provider · Type 1 NPI
Theresa Harrington Stukus
Adult Health Nurse Practitioner · Fairfax, VA
NPI number
1104801844
Active
Practice location
8318 Arlington Blvd Ste 305
Fairfax, VA 22031-5218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Oncology Physician | 2086X0206X | RN61810 (DC) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 0024165377 (VA) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104801844
Theresa Harrington Stukus's National Provider Identifier is 1104801844, issued on Dec 14, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fairfax, VA. The record was last updated on Jan 8, 2013.