IndividualActive
Ivaylo Ninov, RN
NPI 1992411383 · Critical Care Medicine Registered Nurse · Fairfax, VA
Provider details
- NPI number
- 1992411383
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0001293326 (VA)
Specialties & taxonomies
Nursing Service Providers
Practice location
12504 Sweet Leaf Ter
Fairfax, VA 22033-2461
Phone: (571) 276-4518
Approximate (ZIP-level) locationGet directions
Mailing address
12504 Sweet Leaf Ter
Fairfax, VA 22033-2461
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-01-30
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.