Individual
ELIZABETH NYAKO ODOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6201 CENTREVILLE RD STE 200, CENTREVILLE, VA 20121-2626
(703) 830-5600
(703) 830-6942
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024170486
VA
363LF0000X
Family Nurse Practitioner
0024170486
VA
Other
Enumeration date
12/14/2012
Last updated
11/15/2022
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