Provider Demographics
NPI:1831746353
Name:NEMIROVSKAYA, MARIANA
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:
Last Name:NEMIROVSKAYA
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 1:8370 GREENSBORO DR UNIT 106
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3554
Mailing Address - Country:US
Mailing Address - Phone:703-225-9902
Mailing Address - Fax:
Practice Address - Street 1:8370 GREENSBORO DR UNIT 106
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3554
Practice Address - Country:US
Practice Address - Phone:703-225-9902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant