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

Stephanie Petruzzo

Individual provider Physician Assistant · NPI 1093370348

Stephanie Petruzzo is a Physician Assistant in Leesburg, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

19450 Deerfield Ave Ste 325
Leesburg, VA 20176-8503
Phone: (571) 252-8119
Fax: (800) 735-1643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10888 Woodleaf Ln, Great Falls, VA 22066-3004 — (703) 463-6023

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110-007018 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1093370348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 2, 2019
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address224-D Cornwall St., Nw, Suite 403, Leesburg, VA 20176-2704

Other providers in Leesburg