NPI 1023423761

Shahnoza Mamatova, FNPC

Practitioner Family Nurse Practitioner Manassas, VA

Practice location

Address: 9600 Godwin Dr, Manassas, VA 20110-4162
Phone: (703) 396-1064

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 0024171510 (VA)

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Registry record

NPI: 1023423761
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2014
Record last updated: 3 Oct 2024

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.