Provider Demographics
NPI:1275007197
Name:ASAD, SHEEBA (ND, FNP)
Entity type:Individual
Prefix:
First Name:SHEEBA
Middle Name:
Last Name:ASAD
Suffix:
Gender:F
Credentials:ND, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15601 CALUM CT
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-2839
Mailing Address - Country:US
Mailing Address - Phone:703-927-6767
Mailing Address - Fax:
Practice Address - Street 1:400 HOLIDAY CT STE 102103
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-4349
Practice Address - Country:US
Practice Address - Phone:703-927-6767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDJ0000020175F00000X
VA0024191218363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No175F00000XOther Service ProvidersNaturopath