Individual
CHIZIMAKO MARGARET EZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21035 SYCOLIN ROAD, SUITE 180, ASHBURN, VA 20147-4311
(703) 783-5673
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
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
07/31/2023
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