Provider Demographics
NPI:1851067334
Name:HARNER, ANGELA LYNN (PA)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:LYNN
Last Name:HARNER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:7115 LEESBURG PIKE
Mailing Address - Street 2:STE 201
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043
Mailing Address - Country:US
Mailing Address - Phone:703-313-9111
Mailing Address - Fax:703-313-4945
Practice Address - Street 1:7115 LEESBURG PIKE
Practice Address - Street 2:STE 201
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043
Practice Address - Country:US
Practice Address - Phone:703-313-9111
Practice Address - Fax:703-313-4945
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2024-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0008171363A00000X
VA0110008114363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant