SALY DAMIGOU MOUKDAGOU REGISTERED NURSE
NPI 1962027755
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Fairfax, VA
About Saly Damigou Moukdagou Registered Nurse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALY DAMIGOU MOUKDAGOU REGISTERED NURSE (NPI 1962027755) is an individual psychiatric/mental health, child & adolescent provider in Fairfax, Virginia, licensed in Virginia (0001279380) and active in the NPI registry since June 2020.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
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 Saly Moukdagou's NPI number?
The NPI number for Saly Moukdagou is 1962027755. It was assigned to this individual provider in the NPPES registry on June 8, 2020.
Where is Saly Moukdagou located?
Saly Moukdagou practices at 12255 Fair Lakes Pkwy, Fairfax, VA 22033. The listed phone number is (703) 934-5700.
What is Saly Moukdagou's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.
When was this NPI record last updated?
The NPPES record for Saly Moukdagou was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Saly Damigou Moukdagou, REGISTERED NURSE · NPI 1962027755
Psychiatric/Mental Health, Child & Adolescent provider in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since June 8, 2020.
## Identity
- **NPI:** 1962027755 (Entity type: Individual)
- **Enumerated:** June 8, 2020
- **Primary specialty:** Registered Nurse - Psychiatric/Mental Health, Child & Adolescent · taxonomy 163WP0807X
- **State license:** 0001279380 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 12255 FAIR LAKES PKWY, Fairfax, VA 22033-3952
- **Phone:** (703) 934-5700
## Record status
- **NPPES last updated:** June 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1962027755) · Data from the CMS NPPES public registry.