Provider Demographics
NPI:1144363342
Name:VANDRUFF, THOMAS A (NP)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:VANDRUFF
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 N UPSHUR ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-4023
Mailing Address - Country:US
Mailing Address - Phone:703-851-5874
Mailing Address - Fax:703-563-9265
Practice Address - Street 1:21300 COACH GIBBS DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6323
Practice Address - Country:US
Practice Address - Phone:703-851-5874
Practice Address - Fax:703-563-9265
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN967155363LA2100X
VA0024169483363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care