Individual
TOLULASE ONIFADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, MSN, BSN, RN
Contact information
Practice address
44121 HARRY BYRD HIGHWAY, SUITE 275, ASHBURN, VA 20147-5671
(571) 510-0016
(866) 422-2128
Mailing address
44121 HARRY BYRD HIGHWAY, SUITE 275, ASHBURN, VA 20147-5671
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024190928
VA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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