Individual
HIBA MASOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3053 NUTLEY ST, FAIRFAX, VA 22031-1931
(866) 389-2727
Mailing address
3053 NUTLEY ST, FAIRFAX, VA 22031-1931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171325
VA
Other
Enumeration date
12/09/2013
Last updated
01/25/2019
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