MEDICARE: STACIA FRIDLEY DNP, MSN, CNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	0001317452	VA

General Provider Information

NPI Number	:	1003631342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACIA FRIDLEY DNP, MSN, CNS

Provider Business Mailing Address
First Line	:	3405 CYPRESS DR
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 CYPRESS DR
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3301
Country	:	US
Telephone Number	:	619-623-2964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2024
Last Update Date	:	11/21/2024

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1255564167 — MS. KATHLEEN ELIZABETH HANAGAN LCSW
Practice Location Address:

3405 CYPRESS DR
FALLS CHURCH, VA
22042-3301

Practice Phone: 703-204-1344
Practice Fax:

1780076596 — KOREY BERG ATC
Practice Location Address:

3301 PEACE VALLEY LN
FALLS CHURCH, VA
22044-1508

Practice Phone: 703-824-3963
Practice Fax:

1265943971 — NEIGHBORHOOD HEALTH
Practice Location Address:

3301 PEACE VALLEY LN
FALLS CHURCH, VA
22044-1508

Practice Phone: 703-535-5568
Practice Fax:

1659325231 — UNDERGROUND EYEWEAR INC
Practice Location Address:

4815 CHURCH AVE
BROOKLYN, NY
11203-3301

Practice Phone: 718-282-8363
Practice Fax: 718-282-7630

1710051339 — MRS. ELIZABETH WILSON TRUELOVE R.PH.
Practice Location Address:

18 CHURCH ST
ENGLEWOOD, TN
37329-3301

Practice Phone: 423-887-7293
Practice Fax: 423-887-7022

Directions to “ STACIA FRIDLEY DNP, MSN, CNS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.