Healthcare Provider Details

I. General information

NPI: 1548115157
Provider Name (Legal Business Name): SHALINDER KAUR MAAN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42020 VILLAGE CENTER PLZ STE 120
ALDIE VA
20105-3030
US

IV. Provider business mailing address

42020 VILLAGE CENTER PLZ STE 120
ALDIE VA
20105-3030
US

V. Phone/Fax

Practice location:
  • Phone: 571-200-4973
  • Fax:
Mailing address:
  • Phone: 571-200-4973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024196974
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: