Healthcare Provider Details

I. General information

NPI: 1437826393
Provider Name (Legal Business Name): SIMREN KAUR AJRAWAT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19465 DEERFIELD AVE, SUITE 405
LEESBURG VA
20176-1707
US

IV. Provider business mailing address

224D CORNWALL ST NW STE 403
LEESBURG VA
20176-1707
US

V. Phone/Fax

Practice location:
  • Phone: 571-252-8119
  • Fax: 800-735-1643
Mailing address:
  • Phone: 703-737-6010
  • Fax: 800-735-1643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024180675
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: