Individual
MARIATU KASIM TURAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6225 BRANDON AVE STE 365, SPRINGFIELD, VA 22150-2526
(571) 642-3433
(855) 998-8571
Mailing address
PO BOX 639295, CINCINNATI, OH 45263-9295
(571) 642-3433
(855) 998-8571
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024182732
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024182732
DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
10/11/2021
Last updated
04/04/2025
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