Individual provider · Type 1 NPI

Dimitra Mammos, DNP, FNP-BC

Family Nurse Practitioner · Bristow, VA

NPI number 1194544379 Active

Practice location

10322 Bristow Center Dr
Bristow, VA 20136-2201

Mailing address

PO Box 748613
Atlanta, GA 30374-8613

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024190799 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1194544379

Dimitra Mammos, DNP, FNP-BC's National Provider Identifier is 1194544379, issued on Oct 7, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bristow, VA. The record was last updated on Jul 29, 2025.