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NPI Code Detail

MEDICARE: MISS AFRA ALIZADEH MSN, CRNP, AGPCNP-BC

MEDICARE:  MISS AFRA  ALIZADEH  MSN, CRNP, AGPCNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerR255065MD

General Provider Information

NPI Number : 1033004338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AFRA ALIZADEH MSN, CRNP, AGPCNP-BC
Provider Business Mailing Address
First Line : 3411 OLANDWOOD CT STE 105
Second Line :
City : OLNEY
State : MD
Zip : 20832-1488
Country : US
Telephone Number : 301-774-5260
Fax Number :
Provider Business Practice Location Address
First Line : 3411 OLANDWOOD CT STE 105
Second Line :
City : OLNEY
State : MD
Zip : 20832-1488
Country : US
Telephone Number : 301-774-5260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 01/13/2026

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Directions to “ MISS AFRA ALIZADEH MSN, CRNP, AGPCNP-BC” Practice Location

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