Individual provider · Type 1 NPI

Emily Elizabeth Gardner, PA-C

Medical Physician Assistant · Manassas, VA

NPI number 1689054306 Active

Practice location

9450 Innovation Dr
Manassas, VA 20110-2214

Fax (571) 222-2202

Mailing address

3718 1st Rd S
Arlington, VA 22204-1602

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110005373 (VA)
Medical Physician Assistant Primary 363AM0700X0110005373 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1689054306

Emily Elizabeth Gardner, PA-C's National Provider Identifier is 1689054306, issued on Jun 8, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manassas, VA. The record was last updated on Aug 10, 2026.