Individual
KWASI ANWOMEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
8705 STONEWALL RD, MANASSAS, VA 20110-4534
(703) 659-9640
(703) 659-9616
Mailing address
8705 STONEWALL RD, MANASSAS, VA 20110-4534
(703) 659-9640
(703) 659-9616
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
0024174489
VA
363L00000X
Nurse Practitioner
0024174489
VA
363LA2200X
Adult Health Nurse Practitioner
0024174489
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024174489
VA
363LP2300X
Primary Care Nurse Practitioner
0024174489
VA
Other
Enumeration date
02/18/2017
Last updated
02/23/2017
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