Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 0024173047 | VA |
NPI | 1033593264 |
---|---|
Provider Name | Dalia Nour Elsayed |
First Address | Midlothian, VA 23113-9230 |
Second Address | Mechanicsville, VA 23116-2540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2015 |
Last Update Date | 16/11/2015 |