Individual
FARIDEH ABBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 PROSPERITY AVE STE 100, FAIRFAX, VA 22031-4354
(571) 623-3390
(703) 204-9022
Mailing address
2740 PROSPERITY AVE STE 100, FAIRFAX, VA 22031-4354
(571) 623-3390
(703) 204-9022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167599
VA
363LA2200X
Adult Health Nurse Practitioner
0024167599
VA
Other
Enumeration date
12/04/2007
Last updated
11/23/2020
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