Individual
MOHAMMED AFZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3661
Mailing address
9026 LEESBURG PIKE, VIENNA, VA 22182-1723
(571) 223-9525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001232368
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC002070
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001232368
RN LICENSE NUMBER
VA
01
—
363LP0808X
MARYLAND BOARD OF NURSING
MD
Enumeration date
03/21/2017
Last updated
07/24/2017
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