Provider Demographics
NPI:1902671563
Name:ALI, WAFAA
Entity Type:Individual
Prefix:
First Name:WAFAA
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 SEMINARY RD APT 2203N
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3544
Mailing Address - Country:US
Mailing Address - Phone:571-351-8587
Mailing Address - Fax:
Practice Address - Street 1:5505 SEMINARY RD APT 2203N
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3544
Practice Address - Country:US
Practice Address - Phone:571-351-8587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide