Provider Demographics
NPI:1124756838
Name:ABOUZAKI, RANDA ZAID (FNP)
Entity type:Individual
Prefix:MS
First Name:RANDA
Middle Name:ZAID
Last Name:ABOUZAKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 COLLIER CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2500
Mailing Address - Country:US
Mailing Address - Phone:804-874-6665
Mailing Address - Fax:
Practice Address - Street 1:3400 COLLIER CT
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-2500
Practice Address - Country:US
Practice Address - Phone:804-874-6665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAF07221351363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily