MEDICARE: DR. NANCY MOUNIR ABOULMOUNA ND

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
1	175F00000X	Naturopath	NP-0081	DC

General Provider Information

NPI Number	:	1891354262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY MOUNIR ABOULMOUNA ND

Provider Business Mailing Address
First Line	:	2331 N RICHMOND ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-3946
Country	:	US
Telephone Number	:	703-576-7074
Fax Number	:

Provider Business Practice Location Address
First Line	:	908 NEW HAMPSHIRE AVE NW STE 200
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20037-2334
Country	:	US
Telephone Number	:	202-833-5055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2019
Last Update Date	:	06/10/2019

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