Hala D Mata, FNP
Nurse Practitioner, Family in Fairfax, VA. Individual provider (NPI-1).
NPI number1003583014
StatusActive
Last updated in NPPESJan 2, 2026
Details
- NPI
- 1003583014
- Entity type
- Individual (NPI-1)
- Name
- Hala D Mata
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2021
- Certification date
- Jan 2, 2026
- Last updated
- Jan 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F06212895 | VA | Yes |
Practice location
3053 Nutley StFairfax, VA 22031-1931
Phone 703-615-8664 · Fax 914-206-1568
Mailing address
16024 Barn Swallow PlWoodbridge, VA 22191-5542
Phone 703-615-8664 · Fax 914-206-1568
Other practice locations
16024 Barn Swallow Pl
Woodbridge, VA 22191-5542
Woodbridge, VA 22191-5542
Phone 703-615-8664 · Fax 914-206-1568
3060 Williams Dr Ste 3104
Fairfax, VA 22031-4667
Fairfax, VA 22031-4667
Phone 703-661-7484 · Fax 705-995-0010
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