IndividualActive

Saly Moukdagou, REGISTERED NURSE

NPI 1962027755 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Fairfax, VA

Provider details

NPI number: 1962027755
Entity type: Individual
Primary specialty: Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
Credential: REGISTERED NURSE
Sex: Female
Sole proprietor: No
License: 0001279380 (VA)

12255 Fair Lakes Pkwy

Fairfax, VA 22033-3952

Phone: (703) 934-5700

10821 Clover Ct

Manassas, VA 20109-7246

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.