Basic Information
| Provider Information | |||||||||
| NPI: | 1447478425 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NASUTI | ||||||||
| FirstName: | ARMINDA | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | GENSLER | ||||||||
| OtherFirstName: | ARMINDA | ||||||||
| OtherMiddleName: | L | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 6932 FAIRFAX DR | ||||||||
| Address2: | UNIT 400 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222131096 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6086433351 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6932 FAIRFAX DR | ||||||||
| Address2: | UNIT 400 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222131096 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6086433351 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2007 | ||||||||
| LastUpdateDate: | 03/04/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0101261861 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 52708-20 | WI | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.