Individual
SUSAN SASNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
8300 OLD COURTHOUSE RD, SUITE 140, VIENNA, VA 22182-3822
(703) 448-0885
(703) 448-0439
Mailing address
518 S SPRING ST, FALLS CHURCH, VA 22046-2815
(703) 534-7838
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024166750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024166750
VIRGINIA STATE LICENSE
VA
Enumeration date
05/04/2007
Last updated
07/08/2007
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