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Ms. Stephanie L Modzelesky, PA-C
Physician Assistant in Leesburg, Virginia
NPI 1417919408

Stephanie L Modzelesky is a Physician Assistant based in Leesburg, VA. Stephanie L Modzelesky practices in Leesburg, VA and has the professional credentials of PA-C. The NPI Number for Stephanie L Modzelesky is 1417919408 and holds a License No. 0110002171 (Virginia).

The current practice location address for Stephanie L Modzelesky is 224-D Cornwall Street Nw, Suite 204, Leesburg, VA and can be reached out via phone at 571-209-1875 and via fax at 703-777-3365. You can also correspond with Stephanie L Modzelesky through the mailing address at 224-D CORNWALL ST., NW, SUITE 403, LEESBURG, VA - 20176-2704 (mailing address contact number: 703-737-6010).

Location: 224-D Cornwall Street Nw, Suite 204, Leesburg, VA, 20176-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417919408
Provider Name
Stephanie L Modzelesky
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
224-D Cornwall Street Nw, Suite 204, Leesburg, VA, 20176-2704
Phone Number
571-209-1875
Fax Number
703-777-3365
Provider Enumeration Date
04/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30015904250001 05 VA
0110002171 01 VA LICENSE
1417919408 05 VA
institution
Provider Business Practice Location Address Details
Address
224-D Cornwall Street Nw, Suite 204
City
Leesburg
State
Virginia
Zip
20176-2700
Phone Number
571-209-1875
Fax Number
703-777-3365
person
Provider Business Mailing Address Details
Address
224-D Cornwall St., Nw, Suite 403
City
Leesburg
State
Virginia
Zip
20176-2704
Phone Number
703-737-6010
Fax Number
703-443-8643
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0110002171 (Virginia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
0110002171 (Virginia)
Definition
Definition to come...
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