Individual
GULNARA CHARIPOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 TOWN CENTER PKWY STE 412, RESTON, VA 20190-3300
(703) 689-9379
(703) 639-9569
Mailing address
20611 DUXBURY TER, ASHBURN, VA 20147-3251
(703) 407-3977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AC002385
MD
363LF0000X
Family Nurse Practitioner
Primary
0024180533
VA
Other
Enumeration date
08/29/2018
Last updated
03/18/2023
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