Healthcare Provider Details

I. General information

NPI: 1376861583
Provider Name (Legal Business Name): STEPHANIE M GRICE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15237 CREATIVITY DR
CULPEPER VA
22701-2504
US

IV. Provider business mailing address

15237 CREATIVITY DR
CULPEPER VA
22701-2504
US

V. Phone/Fax

Practice location:
  • Phone: 540-321-4281
  • Fax: 540-321-4282
Mailing address:
  • Phone: 540-321-4281
  • Fax: 540-321-4282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101256368
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: