Individual
SAMIRA MORTAZAVI KONTZIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
8620 WILLOW OAKS CORP DRIVE, SUITE 350, FAIRFAX, VA 22031
(703) 260-1179
Mailing address
790 N VERMONT ST, ARLINGTON, VA 22203-2048
(703) 999-2578
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CNM09417
VA
363LW0102X
Women's Health Nurse Practitioner
104118811
VA
Other
Enumeration date
06/26/2024
Last updated
03/02/2025
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