Organization
INDIVIDUAL EMPOWERMENT SERVICES
Active
Other names
Individual Empowerment Services
Organization subpart
No
Provider details
NPI number
Authorized official
SIA SUMANA MSN, BSN, RN (OWNER)
(703) 946-7797
Entity
Organization
Contact information
Practice address
7915 FRYE RD, ALEXANDRIA, VA 22309-1101
(703) 946-7797
Mailing address
7915 FRYE RD, ALEXANDRIA, VA 22309-1101
(703) 946-7797
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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