Individual
NARGES GHODSIMAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E MAIN ST, PURCELLVILLE, VA 20132-3131
(540) 338-4195
Mailing address
43860 ARBORVITAE DR, ASHBURN, VA 20147-5659
(571) 594-2076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001209631
VA
363LF0000X
Family Nurse Practitioner
Primary
0024172742
VA
Other
Enumeration date
06/01/2015
Last updated
02/27/2017
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