Individual
MR. GIBSON IYEKE ERHUNMWUNSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
550 S CARLIN SPRINGS RD, ARLINGTON, VA 22204
(703) 379-7200
(703) 578-5524
Mailing address
2812 CORNFLOWER LN, WALDORF, MD 20603
(301) 885-1587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017138050
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010239796
—
VA
01
—
P00260751
RR MEDICARE
VA
Enumeration date
09/07/2006
Last updated
09/02/2021
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