Provider Demographics
NPI:1821822537
Name:SODHI, GURLEEN SIDHU (MSN,FNP-C)
Entity type:Individual
Prefix:
First Name:GURLEEN
Middle Name:SIDHU
Last Name:SODHI
Suffix:
Gender:F
Credentials:MSN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 THEMIS ST SE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-5098
Mailing Address - Country:US
Mailing Address - Phone:661-667-5208
Mailing Address - Fax:
Practice Address - Street 1:1800 ALEXANDER BELL DR STE 515
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-5473
Practice Address - Country:US
Practice Address - Phone:661-667-5208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily