Healthcare Provider Details

I. General information

NPI: 1083523872
Provider Name (Legal Business Name): ANOUSHEH MOHANDES TARIGHI MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43340 VAN GEISON TER
ASHBURN VA
20148-2443
US

IV. Provider business mailing address

454 MOUNTAIN LAUREL BLVD
RANSON WV
25438-4042
US

V. Phone/Fax

Practice location:
  • Phone: 703-775-0777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024198110
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: