Individual
AMY Y NOBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3650 JOSEPH SIEWICK DRIVE, SUITE 400, FAIRFAX, VA 22033
(703) 391-2020
(703) 391-1211
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101041159
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5640679
—
VA
Enumeration date
01/30/2006
Last updated
05/05/2026
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