NPI 1003583014

Hala D Mata, FNP

Practitioner Family Nurse Practitioner Fairfax, VA

Practice location

Address: 3053 Nutley St, Fairfax, VA 22031-1931
Phone: (703) 615-8664
Fax: (914) 206-1568
Mailing address: 16024 Barn Swallow Pl, Woodbridge, VA 22191-5542

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence F06212895 (VA)

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Registry record

NPI: 1003583014
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2021
Record last updated: 2 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.