Provider Demographics
NPI:1144513037
Name:YOUSEF, DANA (FNP-BC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:YOUSEF
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 MAPLE AVE W STE C
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4312
Mailing Address - Country:US
Mailing Address - Phone:703-255-9850
Mailing Address - Fax:703-255-9856
Practice Address - Street 1:303 MAPLE AVE W STE C
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4312
Practice Address - Country:US
Practice Address - Phone:703-255-9850
Practice Address - Fax:703-255-9856
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169417363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily