Individual provider · Type 1 NPI

Mary Beth Mansourimoaied, NP

Nurse Practitioner · Washington, DC

NPI number 1790822138 Active

Practice location

110 Irving St NW # 2A38
Washington, DC 20010-2976

Fax (202) 877-6292

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN41812 (DC)

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…

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About NPI 1790822138

Mary Beth Mansourimoaied, NP's National Provider Identifier is 1790822138, issued on Feb 1, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Washington, DC. The record was last updated on Jul 8, 2007.