Individual
EDWAN TIFUH MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1871 IVYSTONE CT, HENRICO, VA 23238-4213
(218) 207-8373
Mailing address
1871 IVYSTONE CT, HENRICO, VA 23238-4213
(218) 207-8373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173580
VA
Other
Enumeration date
05/20/2016
Last updated
10/03/2024
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