| Doctor Name: | TODD ALAN STUGART |
| NPI Number: | 1033114863 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN, APRN, BC |
| License Number: | 0024107458 |
| Business Practice Address: | 8712 Sudley Rd Suite 114 Manassas, VA - 201104405 |
| Business Phone Number: | 7033304500 |
| Business Fax Number: | 7033301058 |
| Mailing Address: | 8644 Sudley Rd, Suite 114 MANASSAS |
| State: | VA |
| Postal Code: | 201104417 |
| Phone Number: | 7033304500 |
| Fax Number: | 7033301058 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 11/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024107458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |