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Alexandria Integrative Health Services

Nurse Practitioner, Psych/Mental Health in Alexandria, VA. Organization (NPI-2).

NPI number1477439404
StatusActive
Last updated in NPPESAug 14, 2025

Details

NPI
1477439404
Entity type
Organization (NPI-2)
Legal business name
Alexandria Integrative Health Services
Organization subpart
No
Enumeration date
Aug 14, 2025
Certification date
Aug 14, 2025
Last updated
Aug 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes
363LF0000X Nurse Practitioner, Family––

Practice location

6395 Little River Turnpike
Alexandria, VA 22312

Phone 703-283-3923

Mailing address

5465 N Morgan St Apt 501
Alexandria, VA 22312-3328

Phone 703-283-3923 · Fax 703-283-3923

Authorized official

Eden D Shumbulo
Manager
7032833923

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