| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE KOUVATSOS | 1801463112 | 2022-02-08 |
Stephanie Kouvatsos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801463112. Registration indicates Stephanie Kouvatsos is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Stephanie Kouvatsos PA-C |
| Practice Office Address | 3742 WINTERFIELD RD MIDLOTHIAN, VA US |
| Practice Office Telephone | 8043303335 |
| Practice Office Fax | 8043202717 |
| Mailing Address | 3742 WINTERFIELD RD MIDLOTHIAN, VA 231139230 US |
| Business Telephone | 8043303335 |
| Business Fax | 8043202717 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 0110007996
VA |