Individual
MOAZMA SHAHID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3053 NUTLEY ST, FAIRFAX, VA 22031-1931
(703) 560-4862
Mailing address
7840 GUM SPRINGS VILLAGE DR, ALEXANDRIA, VA 22306-2857
(571) 286-7909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178233
VA
Other
Enumeration date
08/06/2019
Last updated
09/22/2021
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