Individual
MRS. WIDA AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6504 CASTINE LN, SPRINGFIELD, VA 22150-4277
(502) 802-3310
Mailing address
6504 CASTINE LN, SPRINGFIELD, VA 22150-4277
(502) 802-3310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001288544
VA
163WC0400X
Case Management Registered Nurse
Primary
0001288544
VA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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