Samira Mortazavi, CNM, WHNP-BC | |
8620 Willow Oaks Corp Drive, Suite 350, Fairfax, VA 22031 | |
(703) 260-1179 | |
Not Available |
Full Name | Samira Mortazavi |
---|---|
Gender | Female |
Speciality | Midwife |
Location | 8620 Willow Oaks Corp Drive, Fairfax, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215772926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 104118811 (Virginia) | Secondary |
176B00000X | Midwife | CNM09417 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Samira Mortazavi, CNM, WHNP-BC 421 Springvale Rd, Great Falls, VA 22066-3426 Ph: (703) 999-2578 | Samira Mortazavi, CNM, WHNP-BC 8620 Willow Oaks Corp Drive, Suite 350, Fairfax, VA 22031 Ph: (703) 260-1179 |