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General NPI Number Information
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NPI Number | 1629935754
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Entity Type | Individual
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Provider Name | MARIA T MBINKAR
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1619 HAVERHILL RD
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City | STAFFORD
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State | VA
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Zip | 22554-7389
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Country | US
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Telephone | 703-401-0640
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Fax | --
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Provider Business Mailing Address
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Address Line | 1619 HAVERHILL RD
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City | STAFFORD
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State | VA
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Zip | 22554-7389
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Country | US
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Telephone | 703-401-0640
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Fax | --
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 500339999
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 500339999
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License Number State | DC
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