Provider Demographics
NPI:1740810043
Name:MANSARAY, ZAINAB KALOKOH (CRNP,FNP)
Entity type:Individual
Prefix:MS
First Name:ZAINAB
Middle Name:KALOKOH
Last Name:MANSARAY
Suffix:
Gender:F
Credentials:CRNP,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5704 HILAND AVE
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4700
Mailing Address - Country:US
Mailing Address - Phone:240-354-6476
Mailing Address - Fax:
Practice Address - Street 1:5140 NANNIE HELEN BURROUGHS AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5509
Practice Address - Country:US
Practice Address - Phone:202-984-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-25
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDF11190391207Q00000X, 363LF0000X
DCNP1025074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine