Individual
IRODA T MUKHAMEDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
11600 BUSY ST STE 203, NORTH CHESTERFIELD, VA 23236-4066
(804) 506-0526
(804) 506-0526
Mailing address
2661 ST ELIAS DR UNIT A, HENRICO, VA 23294-3535
(901) 428-6389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024179613
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024179613
VA
Other
Enumeration date
09/04/2020
Last updated
10/02/2025
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