Healthcare Provider Details

I. General information

NPI: 1962313205
Provider Name (Legal Business Name): NANOMIND HEALTHCARE SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6395 LITTLE RIVER TURN PICK
ALEXANDRIA VA
22041
US

IV. Provider business mailing address

6395 LITTLE RIVER TURN PICK
ALEXANDRIA VA
22312
US

V. Phone/Fax

Practice location:
  • Phone: 703-399-4872
  • Fax:
Mailing address:
  • Phone: 703-399-4872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: LINA B ABRAR
Title or Position: CEO
Credential: PMHNP-BC
Phone: 703-399-4872