Provider Demographics
NPI:1578318176
Name:ALNAFRAWY, NOURHAN REDA ABDEL (RPH)
Entity Type:Individual
Prefix:
First Name:NOURHAN
Middle Name:REDA ABDEL
Last Name:ALNAFRAWY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:NOURHAN
Other - Middle Name:REDA ABDEL
Other - Last Name:ALNAFRAWY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:2300 PIMMIT DR APT 1015
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2839
Mailing Address - Country:US
Mailing Address - Phone:571-595-4141
Mailing Address - Fax:
Practice Address - Street 1:1301 S JOYCE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2079
Practice Address - Country:US
Practice Address - Phone:703-413-6280
Practice Address - Fax:703-413-6282
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202221931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist