Organization
AXIOM HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARINA SUSANA ABAD N.P. (CEO)
(703) 459-4773
Entity
Organization
Contact information
Practice address
9707 SIGNAL CT, MANASSAS, VA 20111-2505
(703) 459-4773
Mailing address
9707 SIGNAL CT, MANASSAS, VA 20111-2505
(703) 459-4773
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0024167755
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024167755
BOARD OF NURSING, NURSE PRACTITIONER LICENSE
VA
01
—
1912174855
NPI
VA
Enumeration date
04/03/2013
Last updated
03/07/2023
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