Individual
ADWOA ANSU-ANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, FNP-C
Contact information
Practice address
5652 PICKWICK RD, CENTREVILLE, VA 20120-2057
(804) 310-7701
Mailing address
5652 PICKWICK RD, CENTREVILLE, VA 20120-2057
(703) 631-9440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024185248
VA
363LF0000X
Family Nurse Practitioner
Primary
0024185248
VA
Other
Enumeration date
09/14/2022
Last updated
11/04/2022
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