| Doctor Name: | WENDY-LUCY N NGASSA |
| NPI Number: | 1215212709 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024169671 |
| Business Practice Address: | 205 Hirst Rd Suite 203 Purcellville, VA - 201326198 |
| Business Phone Number: | 5407510255 |
| Business Fax Number: | 5407510466 |
| Mailing Address: | Po Box 17334, BALTIMORE |
| State: | MD |
| Postal Code: | 212971334 |
| Phone Number: | 7034436717 |
| Fax Number: | 7034438643 |
| NPI Enumeration Date: | 10/15/2011 |
| NPI Last Update Date: | 11/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024169671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |