Provider Demographics
NPI:1326831553
Name:NDAYI, NADINE MULASHI
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:MULASHI
Last Name:NDAYI
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 1:77 TAVERN RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-8814
Mailing Address - Country:US
Mailing Address - Phone:571-492-1056
Mailing Address - Fax:571-492-1056
Practice Address - Street 1:77 TAVERN RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8814
Practice Address - Country:US
Practice Address - Phone:571-492-1056
Practice Address - Fax:571-492-1056
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131001973224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant