Individual provider · Type 1 NPI

Irenious Pognibal Suglo

Family Nurse Practitioner · Manassas Park, VA

NPI number 1295547933 Active

Practice location

99 Tremont St
Manassas Park, VA 20111-1800

Mailing address

13322 Carmella Ct
Bristow, VA 20136-1033

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024192023 (VA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1295547933

Irenious Pognibal Suglo's National Provider Identifier is 1295547933, issued on Jan 21, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manassas Park, VA. The record was last updated on Jan 21, 2025.