Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 0101273209 | VA |
NPI | 1306336151 |
---|---|
Provider Name | Nora Hassan |
First Address | Fredericksburg, VA 22401-3343 |
Second Address | Dumfries, VA 22025-1927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2018 |
Last Update Date | 28/01/2022 |