Individual
IFEOMA ELIZABETH ILODIANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
46090 LAKE CENTER PLZ, POTOMAC FALLS, VA 20165-5876
(678) 431-9980
Mailing address
43662 JERNIGAN TER, LEESBURG, VA 20176-1279
(678) 431-9980
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177370
VA
363LF0000X
Family Nurse Practitioner
AC003135
MD
Other
Enumeration date
03/15/2019
Last updated
07/21/2021
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