NPI 1386477479 · live from the CMS NPI Registry
Shiva Adyaniyazdi, FNP-BC
Nurse Practitioner, Family in Vienna, VA. National Provider Identifier 1386477479, active.
NPI record
| NPI | 1386477479 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2070 Chain Bridge Rd, Vienna, VA 22182 |
| Practice phone | 703-383-4836 |
| Enumerated | August 23, 2024 |
| Last updated | August 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 2024066515 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.