MARYAM NICKSOLAT

Physician Assistant

Active Individual
NPI: 1215027545

Practice Address

8370 GREENSBORO DR
Mc Lean, VA 22102

Phone: (703) 200-7727

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 0110001340 (VA)

Frequently Asked Questions

NPI 1215027545 is the National Provider Identifier for MARYAM NICKSOLAT, a Physician Assistant provider located in Mc Lean, VA. This NPI was enumerated on October 16, 2006.
MARYAM NICKSOLAT practices at 8370 GREENSBORO DR, Mc Lean, VA 22102.

Quick Facts

NPI
1215027545
Type
Individual
Enumerated
Oct 16, 2006
Last Updated
Apr 24, 2017

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