person
Rezvan Heidari, FNP-C
Family Nurse Practitioner in Centreville, Virginia
NPI 1467811646

Rezvan Heidari is a Family Nurse Practitioner based in Centreville, VA and is specialized in Family. Rezvan Heidari practices in Centreville, VA and has the professional credentials of FNP-C. The NPI Number for Rezvan Heidari is 1467811646 and holds a License No. 0024173245 (Virginia).

The current practice location address for Rezvan Heidari is 5652 Pickwick Rd, Centreville, VA and can be reached out via phone at 866-389-2727 and via fax at 401-216-3854.

Location: 5652 Pickwick Rd, Centreville, VA, 20120-2057
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Provider Profile Details
NPI Number
1467811646
Provider Name
Rezvan Heidari
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5652 Pickwick Rd, Centreville, VA, 20120-2057
Phone Number
866-389-2727
Fax Number
401-216-3854
Provider Enumeration Date
02/17/2016
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467811646 01 FNP
institution
Provider Business Practice Location Address Details
Address
5652 Pickwick Rd
City
State
Zip
20120-2057
Phone Number
866-389-2727
Fax Number
401-216-3854
person
Provider Business Mailing Address Details
Address
5652 Pickwick Rd
City
State
Zip
20120-2057
Phone Number
866-389-2727
Fax Number
401-216-3854
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024173245 (Virginia)
Definition
Definition to come...
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