Healthcare Provider Details

I. General information

NPI: 1831194117
Provider Name (Legal Business Name): SUZANNE OBRIEN CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZANNE O'BRIEN SACHA CFNP

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 WALKER LN STE 401
ALEXANDRIA VA
22310-3250
US

IV. Provider business mailing address

6355 WALKER LN STE 401
ALEXANDRIA VA
22310-3250
US

V. Phone/Fax

Practice location:
  • Phone: 703-924-2100
  • Fax: 703-922-6067
Mailing address:
  • Phone: 703-924-2100
  • Fax: 703-922-6067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024131558
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: