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General NPI Number Information
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NPI Number | 1023676798
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Entity Type | Individual
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Provider Name | MANDEE STULL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 366 DRAFT AVE
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City | STUARTS DRAFT
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State | VA
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Zip | 24477-2941
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Country | US
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Telephone | 844-342-1758
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Fax | 414-622-3856
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Provider Business Mailing Address
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Address Line | 366 DRAFT AVE
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City | STUARTS DRAFT
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State | VA
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Zip | 24477-2941
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Country | US
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Telephone | 844-342-1758
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Fax | 414-622-3856
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0001252880
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0024177760
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024177760
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024177760
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024177760
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License Number State | VA
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