Individual provider · Type 1 NPI

Gannat Moustafa, LPN

Licensed Practical Nurse · Richmond, VA

NPI number 1043175144 Active

Practice location

4926 W Broad St
Richmond, VA 23230-3122

Call (844) 624-7513 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002107085 (VA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1043175144

Gannat Moustafa, LPN's National Provider Identifier is 1043175144, issued on Dec 19, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Richmond, VA. The record was last updated on Dec 19, 2025.