Individual
MUZHDA ASADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
24954 FLAMING TREE COURT, ALDIE, VA 20105-2010
(703) 474-4243
Mailing address
24954 FLAMING TREE COURT, ALDIE, VA 20105
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
0024181421
VA
364SA2200X
Adult Health Clinical Nurse Specialist
0024181421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
000000
—
Enumeration date
10/13/2021
Last updated
01/20/2022
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