Individual
AAIZA HIRRA ABBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11700 SUDLEY MANOR DR, MANASSAS, VA 20109-2843
(571) 359-7410
Mailing address
11956 BENTON LAKE RD, BRISTOW, VA 20136-6153
(571) 359-7410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024181079
VA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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