Healthcare Provider Details

I. General information

NPI: 1942014493
Provider Name (Legal Business Name): ISABELLA KATHLEEN STAMAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5875 BREMO RD STE 304
RICHMOND VA
23226-1934
US

IV. Provider business mailing address

740 CHESAPEAKE DR
TARPON SPRINGS FL
34689-2520
US

V. Phone/Fax

Practice location:
  • Phone: 804-281-8303
  • Fax:
Mailing address:
  • Phone: 727-946-9150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110010714
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: