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IMANI FRASER
NPI 1790468692
Student in an Organized Health Care Education/Training Program in Fairfax, VA

Active since August 08, 2023
3925 BLENHEIM BLVD STE 52B, FAIRFAX, VA 22030(571) 418-1714 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imani Fraser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMANI FRASER (NPI 1790468692) is an individual student in an organized health care education/training program in Fairfax, Virginia and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1790468692
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIMANI FRASER
Location Address3925 BLENHEIM BLVD STE 52BFairfax, VA 22030-2426
Mailing Address5720 Metroview Pkwy Apt 260Alexandria, VA 22303-1557
Phone(571) 418-1714
Sole ProprietorYes
Enumeration DateAugust 8, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1790468692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedArt TherapistTaxonomy 221700000X
3925 BLENHEIM BLVD STE 52B, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA WILLIAMS
Counselor (Mental Health)
3925 BLENHEIM BLVD STE 52B
FAIRFAX, VA 22030
Fairfax City (571) 339-9679
SHANNON M WISE MM, MS
Counselor (Mental Health)
3925 BLENHEIM BLVD STE 52B
FAIRFAX, VA 22030
Fairfax City (571) 418-1714
DANIELLE DORFMAN
Student in an Organized Health Care Education/Training Program
3925 BLENHEIM BLVD STE 52B
FAIRFAX, VA 22030
Fairfax City (571) 418-1714

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imani Fraser's NPI number?

The NPI number for Imani Fraser is 1790468692. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Where is Imani Fraser located?

Imani Fraser practices at 3925 Blenheim Blvd Ste 52B, Fairfax, VA 22030. The listed phone number is (571) 418-1714.

What is Imani Fraser's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Imani Fraser was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.