Provider Demographics
NPI:1629684428
Name:GLESSNER, SARA JEANNE (MSN, FNP-C, RNFA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:JEANNE
Last Name:GLESSNER
Suffix:
Gender:F
Credentials:MSN, FNP-C, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 FINANCIAL LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2460
Mailing Address - Country:US
Mailing Address - Phone:703-491-9500
Mailing Address - Fax:703-491-9994
Practice Address - Street 1:1721 FINANCIAL LOOP
Practice Address - Street 2:
Practice Address - City:LAKE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2460
Practice Address - Country:US
Practice Address - Phone:703-491-9500
Practice Address - Fax:703-491-9994
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001185479163WR0006X
VA0024180878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant