Provider Demographics
NPI:1144335209
Name:WEISENBURG, SONSIREE MONICK (CFNP)
Entity type:Individual
Prefix:
First Name:SONSIREE
Middle Name:MONICK
Last Name:WEISENBURG
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:SONSIREE
Other - Middle Name:MONICK
Other - Last Name:GIBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:21785 FILIGREE COURT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147
Mailing Address - Country:US
Mailing Address - Phone:703-726-9930
Mailing Address - Fax:703-723-8283
Practice Address - Street 1:21785 FILIGREE COURT
Practice Address - Street 2:SUITE 201
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147
Practice Address - Country:US
Practice Address - Phone:703-726-9930
Practice Address - Fax:703-723-8283
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167027363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner