Healthcare Provider Details

I. General information

NPI: 1841876000
Provider Name (Legal Business Name): AISHA ZAINAB SESAY NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 SEMINARY RD
ALEXANDRIA VA
22304-1535
US

IV. Provider business mailing address

3578 BRIARWOOD DR
DUMFRIES VA
22026-6204
US

V. Phone/Fax

Practice location:
  • Phone: 240-603-9147
  • Fax:
Mailing address:
  • Phone: 703-221-7606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2020146283
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: