Individual
MS. EMILY ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9450 INNOVATION DR, MANASSAS, VA 20110-2214
(571) 350-8400
(571) 222-2202
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(571) 222-2202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005373
VA
363AM0700X
Medical Physician Assistant
Primary
0110005373
VA
Other
Enumeration date
06/08/2015
Last updated
11/10/2025
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