Individual
GIDEON ESUZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 PENNSYLVANIA AVE UNIT LLC, WILMINGTON, DE 19806-1392
(302) 213-6158
(855) 530-2764
Mailing address
13603 WHITE BARN LN, HERNDON, VA 20171-3341
(404) 788-2882
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN190476
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024189217
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC006300
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010781
DE
Other
Enumeration date
03/26/2022
Last updated
12/17/2025
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