Healthcare Provider Details

I. General information

NPI: 1811846900
Provider Name (Legal Business Name): CHRISTINE SOMA FNP C, RN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 E BROAD ST
FALLS CHURCH VA
22046-4529
US

IV. Provider business mailing address

5900 BARCLAY DR #151071
ALEXANDRIA VA
22315
US

V. Phone/Fax

Practice location:
  • Phone: 703-533-7555
  • Fax:
Mailing address:
  • Phone: --
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024196381
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR211439
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: