Healthcare Provider Details

I. General information

NPI: 1760205074
Provider Name (Legal Business Name): ZAHRA K MOMIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 F ST NW
WASHINGTON DC
20052-2604
US

IV. Provider business mailing address

1918 F ST NW
WASHINGTON DC
20052-0042
US

V. Phone/Fax

Practice location:
  • Phone: 571-553-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024191693
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: