Nahid Shirvanian Asgari, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Gainesville, VA
NPI 1306990296 · NPPES record last updated Nov 18, 2019
Key facts
- NPI
- 1306990296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024165097 (VA)
- Practice address
- 14380 McGraws Corner Dr
Gainesville, VA 20155-1866 - Phone
- (703) 715-9584
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC000371 | MD | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024165097 | VA | Yes |
| Nurse Practitioner | 363L00000X | AC000371 | MD |
Addresses
Primary practice location
14380 McGraws Corner Dr
Gainesville, VA 20155-1866
Mailing address
14380 McGraws Corner Dr
Gainesville, VA 20155-1866
Phone (703) 715-9584
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All providers in Gainesville, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.