Fitzgerald, Anushaya Misra

Fitzgerald, Anushaya Misra is an individual health care provider with primary practice located at 224D Cornwall St Nw Suite 204, Leesburg VA 20176-2700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fitzgerald, Anushaya Misra can be contacted via phone (703) 777-3262.

Contact Information

Primary practice address
224D Cornwall St Nw Suite 204 Leesburg VA 20176-2700
Phone: (703) 777-3262
Fax: (703) 777-3365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001287 Virginia

Profile Details

NPI number 1376581645
LBN Legal business name Fitzgerald, Anushaya Misra
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Nov 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376581645 NPPES
Virginia MEDICAID 008955301

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