Provider Demographics
NPI:1184078669
Name:YAHYAPOUR, PARVANEH (FNP)
Entity type:Individual
Prefix:
First Name:PARVANEH
Middle Name:
Last Name:YAHYAPOUR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10100
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-8100
Mailing Address - Country:US
Mailing Address - Phone:703-462-8138
Mailing Address - Fax:703-462-8139
Practice Address - Street 1:8357 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2493
Practice Address - Country:US
Practice Address - Phone:571-665-6440
Practice Address - Fax:571-665-6441
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173088363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily