Individual
ELAHEH BANI AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8425 HAMPTON FARMS DR, MOSELEY, VA 23120-1713
(180) 493-3287
Mailing address
8425 HAMPTON FARMS DR, MOSELEY, VA 23120-1713
(180) 493-3287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024179498
VA
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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