Individual provider · Type 1 NPI

Stephanie E. Song, NP

Nurse Practitioner · Manassas, VA

NPI number 1043711435 Active

Practice location

8644 Sudley Rd Ste 114
Manassas, VA 20110-4425

Call (703) 330-4500 Map

Other practice locations

6564 Loisdale Ct Ste 205, Springfield, VA 22150-1812 · (703) 644-7800

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	0024175807 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043711435

Stephanie E. Song, NP's National Provider Identifier is 1043711435, issued on Feb 22, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manassas, VA. The record was last updated on Feb 6, 2026.