Provider Demographics
NPI:1134852775
Name:VIRTU HEALTH AND WELLNESS
Entity type:Organization
Organization Name:VIRTU HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:NAZANEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NASSIRY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:571-839-0318
Mailing Address - Street 1:6900 WISCONSIN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6129
Mailing Address - Country:US
Mailing Address - Phone:571-839-0318
Mailing Address - Fax:949-655-8710
Practice Address - Street 1:6900 WISCONSIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20815-6129
Practice Address - Country:US
Practice Address - Phone:571-839-0318
Practice Address - Fax:949-655-8710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty