Individual
ELIZABETH MBENE WAINAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2544 PAXTON ST, LAKE RIDGE, VA 22192-3416
(703) 350-9154
Mailing address
2544 PAXTON ST, LAKE RIDGE, VA 22192-3416
(703) 350-9154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024193165
VA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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