MEDICARE: GURLEEN SIDHU SODHI MSN,FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024191069	VA

General Provider Information

NPI Number	:	1821822537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GURLEEN SIDHU SODHI MSN,FNP-C

Provider Business Mailing Address
First Line	:	1010 THEMIS ST SE
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20175-5098
Country	:	US
Telephone Number	:	661-667-5208
Fax Number	:

Provider Business Practice Location Address
First Line	:	44055 RIVERSIDE PKWY STE 106
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-5155
Country	:	US
Telephone Number	:	844-466-8244
Fax Number	:	571-665-6487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	01/15/2026

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