STACIA A GROVE

FAIRFAX, VA
NPI1528453362
Other NameSTACIA A SINGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: VA  0024172491)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: VA  0024172491)
Enumeration Date2015-03-30
Last Update Date2022-12-19
Business Address
STACIA A GROVE AGPC NP-C
8081 INNOVATION PARK DR STE 900
FAIRFAX, VA 22031-4867
Phone number: 571-472-4100
Mailing Address
STACIA A GROVE AGPC NP-C
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone number: 571-423-5699