Individual provider · Type 1 NPI
Temitope Edomwonyi Enoma
Licensed Practical Nurse · Lorton, VA
NPI number
1104642966
Active
Practice location
7602 Surrey Grove Court
Lorton, VA 22079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 0002103911 (VA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1104642966
Temitope Edomwonyi Enoma's National Provider Identifier is 1104642966, issued on Nov 26, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lorton, VA. The record was last updated on Nov 26, 2024.