MEDICARE: AVA-GAY SASHA LEDGISTER 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	163WE0003X	Emergency Registered Nurse	26NR16862400	NJ
2	363L00000X	Nurse Practitioner	0024189611	VA
3	363LF0000X	Family Nurse Practitioner	26NJ00993300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932744984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVA-GAY SASHA LEDGISTER FNP-C

Provider Business Mailing Address
First Line	:	20680 SENECA MEADOWS PKWY STE 206
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-7029
Country	:	US
Telephone Number	:	678-559-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 N GEORGE MASON DR STE 107
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3642
Country	:	US
Telephone Number	:	703-717-4738
Fax Number	:	703-717-4578

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

Provider Enumeration Date	:	11/14/2019
Last Update Date	:	05/01/2025

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Directions to “ AVA-GAY SASHA LEDGISTER FNP-C” Practice Location

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