Provider Demographics
NPI:1821395526
Name:WEISSBARTH, AMY STOFFREGEN (MSN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:STOFFREGEN
Last Name:WEISSBARTH
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Gender:F
Credentials:MSN, WHNP-BC
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Mailing Address - Street 1:3300 GALLOWS ROAD
Mailing Address - Street 2:PHYSICIAN BILLING
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3307
Mailing Address - Country:US
Mailing Address - Phone:703-776-2545
Mailing Address - Fax:703-776-2917
Practice Address - Street 1:6400 ARLINGTON BLVD.
Practice Address - Street 2:SUITE 210
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042
Practice Address - Country:US
Practice Address - Phone:703-531-3000
Practice Address - Fax:703-531-3142
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
VA0024169782363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology