Individual
MRS. ELISABETH NKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LNMHP
Contact information
Practice address
6308 FIVE MILE CENTRE PARK STE 219, FREDERICKSBURG, VA 22407-5508
(571) 409-8390
Mailing address
12806 GLENDALE CT, FREDERICKSBURG, VA 22407-2060
(571) 409-8390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024186114
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
VA
Enumeration date
12/28/2022
Last updated
04/20/2023
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