Provider Demographics
NPI:1093821407
Name:DEEN, SAFFIE (LPN)
Entity Type:Individual
Prefix:MS
First Name:SAFFIE
Middle Name:
Last Name:DEEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8247 RUSSELL RD
Mailing Address - Street 2:APT. 201
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-8247
Mailing Address - Country:US
Mailing Address - Phone:703-619-1494
Mailing Address - Fax:
Practice Address - Street 1:8850 RICHMOND HWY
Practice Address - Street 2:200
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-1586
Practice Address - Country:US
Practice Address - Phone:703-704-7004
Practice Address - Fax:703-799-1053
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002060025164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse