Individual
MISS ROSEMARY BIMERU KWAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
16320 EAGLE FLIGHT CIR, WOODBRIDGE, VA 22191-6080
(571) 276-6982
Mailing address
6353 64TH AVE APT A1, RIVERDALE, MD 20737-1501
(571) 276-6982
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
HHA10332
DC
2084P0800X
Psychiatry Physician
0024184923
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CN210136038
DC
Other
Enumeration date
05/08/2014
Last updated
07/20/2023
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