Provider Demographics
NPI:1831809466
Name:MASON, ANNA DIERINGER (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:DIERINGER
Last Name:MASON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:FITZGERALD
Other - Last Name:DIERINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3861 NEWARK ST NW APT D466
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3027
Mailing Address - Country:US
Mailing Address - Phone:864-553-0779
Mailing Address - Fax:
Practice Address - Street 1:3023 HAMAKER CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2207
Practice Address - Country:US
Practice Address - Phone:703-876-2788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP1050656363LF0000X
VA0024185101363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily