Individual
MS. OLIVE UWAMALIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN FNP-C
Contact information
Practice address
13135 LEE JACKSON MEMORIAL HWY STE 135, FAIRFAX, VA 22033-1907
(703) 961-0488
(703) 961-0480
Mailing address
13135 LEE JACKSON MEMORIAL HWY STE 135, FAIRFAX, VA 22033-1907
(703) 961-0488
(703) 961-0480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024184457
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541130380
—
VA
Enumeration date
06/13/2022
Last updated
06/13/2022
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