Provider Demographics
NPI:1477225977
Name:HASSEN, AMINET MUSTOFA
Entity Type:Individual
Prefix:
First Name:AMINET
Middle Name:MUSTOFA
Last Name:HASSEN
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 1:5512 N MORGAN ST APT 201
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-5570
Mailing Address - Country:US
Mailing Address - Phone:202-849-1642
Mailing Address - Fax:
Practice Address - Street 1:5512 N MORGAN ST APT 201
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-5570
Practice Address - Country:US
Practice Address - Phone:202-849-1642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-02
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide