Healthcare Provider Details

I. General information

NPI: 1841117082
Provider Name (Legal Business Name): SYDNEY GEHRING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7110 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE VA
20155-3076
US

IV. Provider business mailing address

PO BOX 609
BRISTOW VA
20136-0609
US

V. Phone/Fax

Practice location:
  • Phone: 267-897-8464
  • Fax:
Mailing address:
  • Phone: 267-897-8464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP035418
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024197908
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: