Individual provider · Type 1 NPI

Carlos Fagbenro, NP

Family Nurse Practitioner · Manassas, VA

NPI number 1447528328 Active

Practice location

6360 Hoadly Rd
Manassas, VA 20112-3422

Mailing address

15337 Lord Culpeper Ct
Woodbridge, VA 22191-4937

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024169586 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1447528328

Carlos Fagbenro, NP's National Provider Identifier is 1447528328, issued on Dec 7, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manassas, VA. The record was last updated on Jan 27, 2017.