Individual
ANDREW ROESSLER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
224D CORNWALL ST NW STE 301, LEESBURG, VA 20176-2704
(703) 779-0700
(703) 779-1398
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024188281
VA
363LP2300X
Primary Care Nurse Practitioner
0024188281
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017828100001
—
VA
Enumeration date
04/09/2024
Last updated
02/08/2026
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