Individual
IDA ASEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6000
Mailing address
14355 SUMMER TREE RD APT D, CENTREVILLE, VA 20121-4042
(314) 283-6048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2020003961
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
0024193904
VA
Other
Enumeration date
05/05/2025
Last updated
07/28/2025
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