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

Stephanie E Song, NP

Individual provider Nurse Practitioner · NPI 1043711435

Stephanie E Song, NP is a Nurse Practitioner in Manassas, Virginia. Qualified in 2017, 9 years ago. Practices with Ear Nose and Throat Specialists of Northern VA, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8644 Sudley Rd Ste 114
Manassas, VA 20110-4425
Phone: (703) 330-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024175807 (VA)

Record details

NPI number1043711435
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address8644 Sudley Rd Ste 114, Manassas, VA 20110-4425

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ear Nose And Throat Specialists Of Northern Va — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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