Individual
MRS. MARIAME DIABATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1625 N GEORGE MASON DR STE 325, ARLINGTON, VA 22205-3690
(703) 717-4600
(703) 717-4601
Mailing address
1625 N GEORGE MASON DR STE 325, ARLINGTON, VA 22205-3690
(703) 717-4600
(703) 717-4601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179111
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024179111
VIRGINIA LICENSE
VA
Enumeration date
10/26/2020
Last updated
10/20/2021
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