Provider Demographics
NPI:1306696810
Name:OSMAN, FATIMA KUNATE (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:FATIMA
Middle Name:KUNATE
Last Name:OSMAN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:FATIMATA
Other - Middle Name:BINTU
Other - Last Name:SULEMANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2088 PILGRIM DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2319
Mailing Address - Country:US
Mailing Address - Phone:571-456-2535
Mailing Address - Fax:
Practice Address - Street 1:2088 PILGRIM DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2319
Practice Address - Country:US
Practice Address - Phone:571-456-2535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024189738363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health