Individual provider · Type 1 NPI

Marie Fuanya

Family Nurse Practitioner · Chantilly, VA

NPI number 1245697259 Active

Practice location

14121 Parke Long Ct
Chantilly, VA 20151-1647

Mailing address

9053 Ewing Ave
Evanston, IL 60203-1908

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209014055 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1245697259

Marie Fuanya's National Provider Identifier is 1245697259, issued on Jan 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chantilly, VA. The record was last updated on Apr 21, 2016.