Individual
ANUSHAYA MISRA FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
19450 DEERFIELD AVENUE, SUITE 200, LEESBURG, VA 20176-6821
(571) 209-1875
(703) 777-3365
Mailing address
224-D CORNWALL STREET, NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001287
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008955301
—
VA
05
—
1376581645
—
VA
05
—
30016705640002
—
VA
Enumeration date
06/02/2006
Last updated
11/25/2024
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