Provider Demographics
NPI:1619775749
Name:ABED, MONA (FNP-BC)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:ABED
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 1:3620 JOSEPH SIEWICK DR STE 406
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1761
Mailing Address - Country:US
Mailing Address - Phone:844-466-8244
Mailing Address - Fax:
Practice Address - Street 1:3620 JOSEPH SIEWICK DR STE 406
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1761
Practice Address - Country:US
Practice Address - Phone:844-466-8244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001220221163W00000X
VA0024192791363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse