Basic Information
| Provider Information | |||||||||
| NPI: | 1306336151 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HASSAN | ||||||||
| FirstName: | NORA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2300 FALL HILL AVE STE 317 | ||||||||
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| City: | FREDERICKSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 224013343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5407411100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 17017 DUMFRIES RD | ||||||||
| Address2: | |||||||||
| City: | DUMFRIES | ||||||||
| State: | VA | ||||||||
| PostalCode: | 220251927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5407411100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2018 | ||||||||
| LastUpdateDate: | 01/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0505X | 0101273209 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine |
No ID Information.