Mortazavi, Samira

Mortazavi, Samira is an individual health care provider with primary practice located at 8620 Willow Oaks Corp Drive Suite 350, Fairfax VA 22031. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Mortazavi, Samira can be contacted via phone (703) 260-1179.

Contact Information

Primary practice address
8620 Willow Oaks Corp Drive Suite 350 Fairfax VA 22031
Phone: (703) 260-1179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 104118811 Virginia
Other Service Providers / Midwife 176B00000X CNM09417 Virginia

Profile Details

NPI number 1215772926
LBN Legal business name Mortazavi, Samira
Credentials CNM, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2024
Last updated Jun 26th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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