Individual
MS. OLGA ADJO TAWIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1850 TOWN CENTER PKWY STE 410, RESTON, VA 20190-3300
(571) 393-6987
Mailing address
24638 LENAH CROSSING DR, ALDIE, VA 20105-5971
(443) 221-9928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177614
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649280215
PRIVATE COMMERCIAL
VA
05
—
202379419
—
VA
Enumeration date
01/27/2021
Last updated
01/27/2021
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