Provider Demographics
NPI:1942768361
Name:ONG MUSNGI, ASHLEE (PA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:
Last Name:ONG MUSNGI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:ASHLEE
Other - Middle Name:
Other - Last Name:ONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3930 PENDER DRIVE SUITE 350
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2637
Mailing Address - Country:US
Mailing Address - Phone:703-865-8686
Mailing Address - Fax:703-865-6506
Practice Address - Street 1:3930 PENDER DR STE 350
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-0989
Practice Address - Country:US
Practice Address - Phone:703-865-8686
Practice Address - Fax:703-865-6506
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-05
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110007198363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant