Individual provider · Type 1 NPI

Stacy Lauren Lederman Niederman, PA-C

Physician Assistant · Falls Church, VA

NPI number 1205234069 Active

Practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

PO Box 37174
Baltimore, MD 21297-3174

Other practice locations

  • 8501 Arlington Blvd Ste 200, Fairfax, VA 22031-4625 · (571) 472-6464

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110-004804 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205234069

Stacy Lauren Lederman Niederman, PA-C's National Provider Identifier is 1205234069, issued on Dec 10, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Falls Church, VA. The record was last updated on Mar 23, 2022.