Individual provider · Type 1 NPI
Azar Mahdavi, FNP-BC
Nurse Practitioner · Leesburg, VA
Practice location
44055 Riverside Pkwy Ste 106
Leesburg, VA 20176-5155
Mailing address
21250 Windmill Parc Dr Unit 104
Sterling, VA 20166-6699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 24193204 (VA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1336932482
Azar Mahdavi, FNP-BC's National Provider Identifier is 1336932482, issued on May 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leesburg, VA. The record was last updated on May 22, 2025.