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Individual

CHIZIMAKO MARGARET EZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9720 CAPITAL CT STE 404, MANASSAS, VA 20110-2052
(703) 843-0665
(703) 544-4686
Mailing address
9720 CAPITAL CT STE 404, MANASSAS, VA 20110-2052
(703) 843-0665
(703) 544-4686

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001201522
VA
363LF0000X
Family Nurse Practitioner
Primary
0024172597
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801062229
VA
Enumeration date
05/06/2008
Last updated
06/15/2026
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