Gulnara Charipova
Nurse Practitioner, Family in Reston, VA. Individual provider (NPI-1).
NPI number1225510027
StatusActive
Last updated in NPPESMar 18, 2023
Details
- NPI
- 1225510027
- Entity type
- Individual (NPI-1)
- Name
- Gulnara Charipova
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2018
- Certification date
- Mar 18, 2023
- Last updated
- Mar 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024180533 | VA | Yes |
| 207Q00000X | Family Medicine | AC002385 | MD |
Other names
- Gulnara Charipova (Other Name)
Practice location
1850 Town Center Pkwy Ste 412Reston, VA 20190-3300
Phone 703-689-9379 · Fax 703-639-9569
Mailing address
20611 Duxbury TerAshburn, VA 20147-3251
Phone 703-407-3977
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