Provider Demographics
NPI:1124607106
Name:PANJWANI, SAIMA (NP)
Entity type:Individual
Prefix:
First Name:SAIMA
Middle Name:
Last Name:PANJWANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4907 TURNER RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5925
Mailing Address - Country:US
Mailing Address - Phone:804-868-5803
Mailing Address - Fax:
Practice Address - Street 1:20 DELFAE DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-4281
Practice Address - Country:US
Practice Address - Phone:804-313-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180547363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner