Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Lane Primmer, CSA

Individual provider Surgical Assistant · NPI 1841050077

Andrew Lane Primmer, CSA is a Surgical Assistant in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024
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Practice location Address checks out

8280 Willow Oaks Corporate Dr Ste 641
Fairfax, VA 22031
Phone: (703) 659-4557
Fax: (703) 205-9010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136000468 (VA)

Record details

NPI number1841050077
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 20, 2024

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