Provider Demographics
NPI:1851800502
Name:NSOULI, SUAD TALAL (FNP-C)
Entity Type:Individual
Prefix:
First Name:SUAD
Middle Name:TALAL
Last Name:NSOULI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9520 BURKE RD
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-3132
Mailing Address - Country:US
Mailing Address - Phone:703-425-8616
Mailing Address - Fax:703-425-8743
Practice Address - Street 1:9520 BURKE RD
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3132
Practice Address - Country:US
Practice Address - Phone:703-425-8616
Practice Address - Fax:703-425-8743
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1028648363LF0000X
VA0024175417363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily