Individual
LOIS NTIAMOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3298
(202) 766-2390
Mailing address
2807 N PARHAM RD STE 3204524, HENRICO, VA 23294-4410
(202) 766-2390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024190470
VA
Other
Enumeration date
06/26/2024
Last updated
07/22/2024
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