Farideh Abbasi
Nurse Practitioner in Fairfax, VA. Individual provider (NPI-1).
NPI number1326220047
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1326220047
- Entity type
- Individual (NPI-1)
- Name
- Farideh Abbasi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2007
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024167599 | VA | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 0024167599 | VA |
Practice location
2740 Prosperity Ave Ste 100Fairfax, VA 22031-4354
Phone 571-623-3390 · Fax 703-204-9022
Mailing address
2740 Prosperity Ave Ste 100Fairfax, VA 22031-4354
Phone 571-623-3390 · Fax 703-204-9022
Other practice locations
3300 Gallows Rd
Falls Church, VA 22042-3307
Falls Church, VA 22042-3307
Phone 571-623-3390
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