Individual
NOOR WAIS WALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1636 BELLE VIEW BLVD, ALEXANDRIA, VA 22307-6531
(866) 389-2727
Mailing address
1452 CHAIN BRIDGE RD, MC LEAN, VA 22101-3706
(703) 356-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178895
VA
Other
Enumeration date
02/12/2020
Last updated
08/03/2021
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