Organization
VIRGINIA PRIME WOUND CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY B HORMILLADA (CEO)
(703) 343-0507
Entity
Organization
Contact information
Practice address
47794 BRAWNER PL, STERLING, VA 20165-4709
(703) 343-0507
Mailing address
47794 BRAWNER PL, STERLING, VA 20165-4709
(703) 343-0507
(703) 940-0691
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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