SAMIRA MORTAZAVI

FAIRFAX, VA
NPI1215772926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: VA  CNM09417)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: VA  104118811)
Enumeration Date2024-06-26
Last Update Date2024-06-26
Business Address
SAMIRA MORTAZAVI CNM, WHNP-BC
8620 WILLOW OAKS CORP DRIVE SUITE 350
FAIRFAX, VA 22031
Phone number: 703-260-1179
Mailing Address
SAMIRA MORTAZAVI CNM, WHNP-BC
421 SPRINGVALE RD
GREAT FALLS, VA 22066-3426
Phone number: 703-999-2578
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