Healthcare Provider Details

I. General information

NPI: 1629721238
Provider Name (Legal Business Name): DONNA AREFIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 02/02/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 ARLINGTON BLVD STE 302
FAIRFAX VA
22031-2902
US

IV. Provider business mailing address

7464 WILMER WAY
MANASSAS VA
20109-5709
US

V. Phone/Fax

Practice location:
  • Phone: 703-204-1123
  • Fax:
Mailing address:
  • Phone: 201-406-6947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number02879
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2101002513
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: