Individual
MR. WASIU SEUN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4000 COLISEUM DR STE 445, HAMPTON, VA 23666-5981
(757) 827-2127
(757) 827-2255
Mailing address
4000 COLISEUM DR STE 445, HAMPTON, VA 23666-5981
(757) 827-2127
(757) 827-2255
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24192022
VA
Other
Enumeration date
12/11/2024
Last updated
01/29/2025
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