Individual provider · Type 1 NPI
Adaku Lilian Izunwanne
Gerontology Nurse Practitioner · Manassas, VA
NPI number
1104245224
Active
Practice location
9306 Forest Point Cir
Manassas, VA 20110-4700
Fax (703) 330-5051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0024171147 (VA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1104245224
Adaku Lilian Izunwanne's National Provider Identifier is 1104245224, issued on Apr 16, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Manassas, VA. The record was last updated on Apr 16, 2014.