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Contact Information

THERESA A GANOE, ACNP-BC
8700 SUDLEY RD
MANASSAS, VA20110
 Phone: 703-396-5292
 Fax: 703-396-5297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THERESA A GANOE · (Female)

NPI # 1316290083
Status Active
Credentials ACNP-BC (Acute Care Nurse Practitioner - Board Certified)
Entity Individual
Enumeration date 10/18/2012
Last updated 08/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • DC License # RN1005293
  • VA License # 0024171161
Hospital affiliation(s)
  • INOVA FAIR OAKS HOSPITAL - (Acute Care)
    3600 JOSEPH SIEWICK DRIVE
    FAIRFAX, VA 22033
  • INOVA FAIRFAX HOSPITAL - (Acute Care)
    8110 GATEHOUSE ROAD, 400 WEST
    FALLS CHURCH, VA 22042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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