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NPI Code Detail

MEDICARE: STEPHANIE LEARY

MEDICARE:   STEPHANIE  LEARY
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
1363LW0102XWomen's Health Nurse Practitioner0024196584VA

General Provider Information

NPI Number : 1487508529
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LEARY
Provider Business Mailing Address
First Line : 14200 HARTWOOD CT
Second Line :
City : CENTREVILLE
State : VA
Zip : 20121-5023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 GALLOWS RD
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-3307
Country : US
Telephone Number : 703-776-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

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Directions to “ STEPHANIE LEARY ” Practice Location

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