Individual
ELIZABETH-JANE MENGWI NGONGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
9009 SILVERBROOK RD, FAIRFAX STATION, VA 22039-2607
(703) 493-8531
(703) 361-0346
Mailing address
8714 SUDLEY RD, MANASSAS, VA 20110-4405
(703) 361-4357
(703) 361-0346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001202623
VA
363LF0000X
Family Nurse Practitioner
Primary
0024169666
VA
Other
Enumeration date
05/25/2010
Last updated
07/21/2022
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