NPI 1326220047 · live from the CMS NPI Registry
Farideh Abbasi
Nurse Practitioner in Fairfax, VA. National Provider Identifier 1326220047, active.
NPI record
| NPI | 1326220047 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 2740 Prosperity Ave Ste 100, Fairfax, VA 22031 |
| Practice phone | 571-623-3390 |
| Enumerated | December 4, 2007 |
| Last updated | November 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Adult Health | 363LA2200X | 0024167599 (VA) |
| Nurse Practitioner primary | 363L00000X | 0024167599 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.