Healthcare Provider Details

I. General information

NPI: 1467328088
Provider Name (Legal Business Name): HARBI-HASSAN SABILE OLHAYE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HARBI S OLHAYE RN

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44045 RIVERSIDE PKWY
LEESBURG VA
20176-5101
US

IV. Provider business mailing address

7514 HAVELOCK ST
SPRINGFIELD VA
22150-3919
US

V. Phone/Fax

Practice location:
  • Phone: 703-858-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number0001326079
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: