Individual
OSITA MGBENDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP- PMHNP
Contact information
Practice address
10721 MAIN ST STE 2400, FAIRFAX, VA 22030-6902
(571) 977-6870
Mailing address
1000 PALISADES CIR, MANASSAS PARK, VA 20111-8055
(973) 610-1334
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187411
VA
Other
Enumeration date
06/27/2023
Last updated
05/08/2025
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